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 $178.61 / $203.62 / $223.45	Professional		$178.61	$203.62	$223.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.61 / $204.67 / $265.14	Facility		$178.61	$204.67	$265.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.88 / $241.88 / $241.88	Professional		$241.88	$241.88	$241.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $190.48 / $3,500.00	Professional		$30.00	$190.48	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,624.41 / $3,778.52 / $4,803.78	Facility		$2,624.41	$3,778.52	$4,803.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $289.05 / $304.10	Professional		$289.05	$289.05	$304.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $272.49 / $390.75	Professional		$196.69	$272.49	$390.75