Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.50 / $1,572.24 / $1,725.37	Professional		$1,379.50	$1,572.24	$1,725.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.50 / $1,572.24 / $2,012.47	Facility		$1,379.50	$1,572.24	$2,012.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.20 / $1,430.20 / $1,430.20	Professional		$1,430.20	$1,430.20	$1,430.20
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 $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 $2,239.25 / $2,239.25 / $2,347.96	Professional		$2,239.25	$2,239.25	$2,347.96
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 $1,618.98 / $2,242.96 / $3,319.64	Professional		$1,618.98	$2,242.96	$3,319.64