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 $91.35 / $1,000.00 / $2,267.38	Professional		$91.35	$1,000.00	$2,267.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.48 / $1,000.00 / $4,200.05	Facility		$86.48	$1,000.00	$4,200.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $181.78 / $5,621.18	Professional		$149.97	$181.78	$5,621.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,735.42	Professional		$32.34	$32.34	$8,735.42
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 $136.22 / $172.82 / $4,601.88	Professional		$136.22	$172.82	$4,601.88
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 $2,001.64 / $2,573.55 / $3,431.40	Professional		$2,001.64	$2,573.55	$3,431.40