Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.25 / $889.65 / $1,082.51	Professional		$661.25	$889.65	$1,082.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.12 / $907.44 / $1,285.76	Facility		$651.12	$907.44	$1,285.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $806.68 / $806.68	Professional		$806.68	$806.68	$806.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,085.91 / $3,500.00	Professional		$30.00	$1,085.91	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,981.89 / $7,201.73 / $15,835.76	Facility		$4,981.89	$7,201.73	$15,835.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,147.23 / $1,147.23 / $1,514.20	Professional		$1,147.23	$1,147.23	$1,514.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $10,319.42 / $12,233.00	Facility		$1,150.00	$10,319.42	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.48 / $1,417.57 / $2,140.82	Professional		$1,041.48	$1,417.57	$2,140.82