Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,238.72	Professional		$1,348.96	$1,548.82	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $3,388.44	Facility		$2,137.96	$2,187.76	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,454.71	Professional		$2,187.76	$2,398.83	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $5,495.41	Facility		$1,348.96	$1,659.59	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,238.72	Professional		$1,348.96	$1,513.56	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,090.30	Facility		$2,187.76	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,454.71	Professional		$1,949.84	$2,187.76	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $26,302.68	Facility		$3,715.35	$15,488.17	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,884.03	Professional		$1,548.82	$1,995.26	$2,884.03