Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $611.21 / $670.75	Professional		$536.29	$611.21	$670.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.29 / $686.46 / $902.25	Facility		$536.29	$686.46	$902.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.30 / $1,066.30 / $1,066.30	Professional		$1,066.30	$1,066.30	$1,066.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,435.40 / $3,500.00	Professional		$30.00	$1,435.40	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59,306.59 / $87,568.38 / $106,974.56	Facility		$59,306.59	$87,568.38	$106,974.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.81 / $1,095.50 / $1,095.50	Professional		$912.81	$1,095.50	$1,095.50
United Facility/Professional Facility Modifier Low / Median / High Price $14,540.00 / $49,709.00 / $50,359.00	Facility		$14,540.00	$49,709.00	$50,359.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.45 / $813.88 / $1,229.14	Professional		$599.45	$813.88	$1,229.14