Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,805.00 / $6,899.00	Facility		$4,000.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.82 / $1,321.96 / $1,450.09	Professional		$1,170.82	$1,321.96	$1,450.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.96 / $1,498.65 / $2,007.02	Facility		$396.96	$1,498.65	$2,007.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.13 / $469.13 / $469.13	Professional		$469.13	$469.13	$469.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,860.62 / $3,500.00	Professional		$30.00	$2,860.62	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,303.53 / $13,737.97 / $17,393.36	Facility		$10,303.53	$13,737.97	$17,393.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,301.91 / $2,366.11 / $2,366.11	Professional		$2,301.91	$2,366.11	$2,366.11
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 $1,373.93 / $1,713.15 / $2,817.18	Professional		$1,373.93	$1,713.15	$2,817.18