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 $1,633.04 / $1,860.96 / $2,042.16	Professional		$1,633.04	$1,860.96	$2,042.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.83 / $1,888.03 / $3,590.37	Facility		$1,176.83	$1,888.03	$3,590.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.22 / $874.22 / $874.22	Professional		$874.22	$874.22	$874.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $6,364.74	Professional		$30.00	$3,500.00	$6,364.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,519.31 / $24,687.79 / $31,188.68	Facility		$12,519.31	$24,687.79	$31,188.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,492.94 / $4,523.27 / $4,523.27	Professional		$2,492.94	$4,523.27	$4,523.27
United Facility/Professional Facility Modifier Low / Median / High Price $11,800.00 / $26,422.00 / $29,092.00	Facility		$11,800.00	$26,422.00	$29,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,916.36 / $2,654.97 / $4,075.56	Professional		$1,916.36	$2,654.97	$4,075.56