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 $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.38 / $367.50 / $1,262.34	Facility		$312.38	$367.50	$1,262.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,327.80 / $4,747.49 / $5,755.74	Facility		$3,327.80	$4,747.49	$5,755.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,111.00 / $1,111.00	Professional		$944.35	$1,111.00	$1,111.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00