Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.19 / $5,519.00 / $11,007.58	Facility		$632.19	$5,519.00	$11,007.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $19,654.34 / $19,654.34 / $19,654.34	Facility	50	$19,654.34	$19,654.34	$19,654.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.98 / $796.52 / $965.91	Facility		$437.98	$796.52	$965.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,064.64 / $12,228.99 / $15,681.77	Facility		$8,064.64	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,971.33 / $18,343.49 / $24,448.26	Facility	50	$10,971.33	$18,343.49	$24,448.26
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00