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 $629.24 / $860.31 / $1,260.59	Professional		$629.24	$860.31	$1,260.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.07 / $1,113.49 / $1,460.92	Facility		$595.07	$1,113.49	$1,460.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.26 / $1,109.74 / $1,448.38	Professional		$1,017.26	$1,109.74	$1,448.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $867.86 / $1,091.82	Professional		$32.34	$867.86	$1,091.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,069.59 / $1,258.34 / $1,448.38	Professional		$1,069.59	$1,258.34	$1,448.38
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
United Facility/Professional Professional Modifier Low / Median / High Price $672.23 / $925.08 / $1,316.45	Professional		$672.23	$925.08	$1,316.45