Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.16 / $691.94 / $788.51	Professional		$371.16	$691.94	$788.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.94 / $749.77 / $1,009.29	Facility		$691.94	$749.77	$1,009.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $974.70 / $974.70	Professional		$974.70	$974.70	$974.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,312.10 / $1,462.05 / $3,500.00	Professional		$1,312.10	$1,462.05	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,030.67 / $10,875.97 / $15,835.76	Facility		$8,030.67	$10,875.97	$15,835.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,187.53 / $1,187.53 / $1,249.35	Professional		$1,187.53	$1,187.53	$1,249.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,980.00 / $10,120.00 / $27,159.00	Facility		$1,980.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.76 / $1,000.09 / $1,439.96	Professional		$734.76	$1,000.09	$1,439.96