Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $4,500.00 / $7,045.00	Professional		$510.00	$4,500.00	$7,045.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,016.16 / $3,016.16 / $3,289.69	Professional		$3,016.16	$3,016.16	$3,289.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,467.35 / $8,067.09 / $11,300.77	Facility		$6,467.35	$8,067.09	$11,300.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,365.59 / $1,365.59 / $1,638.71	Professional		$1,365.59	$1,365.59	$1,638.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00