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 $384.40 / $411.45 / $451.54	Professional		$384.40	$411.45	$451.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.40 / $492.03 / $570.89	Facility		$384.40	$492.03	$570.89
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 $6,674.32 / $9,148.04 / $12,369.80	Facility		$6,674.32	$9,148.04	$12,369.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $621.88 / $621.88 / $654.77	Professional		$621.88	$621.88	$654.77
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 $422.64 / $587.00 / $868.76	Professional		$422.64	$587.00	$868.76