Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.41 / $612.03 / $668.74	Professional		$609.41	$612.03	$668.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.41 / $780.06 / $1,098.90	Facility		$609.41	$780.06	$1,098.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,353.61 / $12,147.95 / $32,353.83	Facility		$7,353.61	$12,147.95	$32,353.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $938.78 / $938.78 / $1,260.34	Professional		$938.78	$938.78	$1,260.34
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $496.49 / $734.82	Professional		$358.37	$496.49	$734.82