Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.75 / $1,200.00 / $4,500.00	Facility		$435.75	$1,200.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.85 / $271.79 / $485.02	Facility		$177.85	$271.79	$485.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,821.96 / $3,897.74 / $4,961.97	Facility		$1,821.96	$3,897.74	$4,961.97
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,901.13 / $5,846.61 / $7,567.08	Facility	50	$1,901.13	$5,846.61	$7,567.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00