Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,359.31 / $1,502.75 / $1,700.33	Professional		$1,359.31	$1,502.75	$1,700.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,359.31 / $1,549.45 / $1,983.30	Facility		$1,359.31	$1,549.45	$1,983.30
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 $2,128.80 / $2,197.46 / $3,264.16	Facility		$2,128.80	$2,197.46	$3,264.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,189.50 / $2,189.50 / $2,302.96	Professional		$2,189.50	$2,189.50	$2,302.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.09 / $2,057.46 / $3,037.15	Professional		$1,485.09	$2,057.46	$3,037.15