Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,500.00 / $5,519.00	Facility		$4,000.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.39 / $1,230.15 / $1,349.98	Professional		$1,079.39	$1,230.15	$1,349.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,079.39 / $1,381.62 / $1,601.78	Facility		$1,079.39	$1,381.62	$1,601.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,752.59 / $1,784.16 / $2,735.71	Facility		$1,752.59	$1,784.16	$2,735.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,835.78 / $1,835.78 / $1,837.13	Professional		$1,835.78	$1,835.78	$1,837.13
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 $1,263.59 / $1,754.97 / $2,597.39	Professional		$1,263.59	$1,754.97	$2,597.39