Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.26 / $1,464.91 / $1,770.90	Professional		$1,416.26	$1,464.91	$1,770.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.77 / $1,525.48 / $2,119.80	Facility		$1,098.77	$1,525.48	$2,119.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $816.23 / $816.23 / $816.23	Professional		$816.23	$816.23	$816.23
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 $6,284.43 / $8,522.07 / $10,689.08	Facility		$6,284.43	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,338.25 / $2,338.25 / $2,338.25	Professional		$2,338.25	$2,338.25	$2,338.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.21 / $2,349.96 / $3,468.93	Professional		$1,696.21	$2,349.96	$3,468.93