Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,495.41	Facility		$2,884.03	$4,466.84	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $5,370.32	Facility		$1,737.80	$3,235.94	$5,370.32
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $5,128.61 / $7,943.28	Facility	50	$1,047.13	$5,128.61	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,380.38 / $5,495.41	Facility		$512.86	$1,380.38	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $5,495.41	Facility		$3,090.30	$4,168.69	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $6,165.95 / $8,317.64	Facility	50	$4,570.88	$6,165.95	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $12,302.69 / $12,302.69	Facility		$5,495.41	$12,302.69	$12,302.69