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 $8,831.73 / $10,065.70 / $11,045.82	Professional		$8,831.73	$10,065.70	$11,045.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.55 / $10,065.70 / $12,884.10	Facility		$768.55	$10,065.70	$12,884.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $908.28 / $908.28 / $908.28	Professional		$908.28	$908.28	$908.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,500.00	Professional		$30.00	$78.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,519.58 / $54,654.49 / $87,451.59	Facility		$36,519.58	$54,654.49	$87,451.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,063.13 / $2,063.13 / $6,539.36	Professional		$2,063.13	$2,063.13	$6,539.36
United Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $24,599.00 / $65,746.00	Facility		$12,000.00	$24,599.00	$65,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,023.32 / $14,360.30 / $21,253.53	Professional		$10,023.32	$14,360.30	$21,253.53