Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.52 / $1,112.76 / $4,500.00	Facility		$540.52	$1,112.76	$4,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $270.26 / $270.26 / $555.80	Facility	53	$270.26	$270.26	$555.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.62 / $454.22 / $935.10	Facility		$211.62	$454.22	$935.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,272.32 / $1,855.38 / $2,769.18	Facility		$1,272.32	$1,855.38	$2,769.18
Regence BlueShield Facility/Professional Facility Modifier 53 Low / Median / High Price $1,539.68 / $1,539.68 / $1,539.68	Facility	53	$1,539.68	$1,539.68	$1,539.68
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