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 $1,848.20 / $2,157.08 / $2,488.26	Professional		$1,848.20	$2,157.08	$2,488.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.66 / $2,267.48 / $2,902.39	Facility		$649.66	$2,267.48	$2,902.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.54 / $237.54 / $237.54	Professional		$237.54	$237.54	$237.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,336.35 / $9,357.69 / $12,006.70	Facility		$4,336.35	$9,357.69	$12,006.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,790.98 / $2,790.98 / $3,147.20	Professional		$2,790.98	$2,790.98	$3,147.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,669.03 / $3,706.95 / $5,263.95	Professional		$2,669.03	$3,706.95	$5,263.95