Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $233.36 / $2,257.90	Professional		$55.47	$233.36	$2,257.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.87 / $233.36 / $4,216.43	Facility		$51.87	$233.36	$4,216.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $109.34 / $5,931.70	Professional		$90.21	$109.34	$5,931.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $9,294.21	Professional		$32.34	$32.34	$9,294.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,074.61 / $4,697.79 / $5,755.74	Facility		$2,074.61	$4,697.79	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $103.07 / $4,622.77	Professional		$83.19	$103.07	$4,622.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,878.70 / $2,504.92 / $3,402.38	Professional		$1,878.70	$2,504.92	$3,402.38