Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.52 / $1,220.52 / $5,519.00	Facility		$1,220.52	$1,220.52	$5,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,080.40 / $6,042.15 / $9,537.74	Facility	50	$3,080.40	$6,042.15	$9,537.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.90 / $740.73 / $1,087.19	Facility		$407.90	$740.73	$1,087.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,857.43 / $11,374.29 / $15,212.33	Facility	50	$6,857.43	$11,374.29	$15,212.33
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