Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $486.90 / $822.26	Professional		$481.29	$486.90	$822.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.87 / $623.23 / $1,052.49	Facility		$430.87	$623.23	$1,052.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $235.72 / $235.72	Professional		$235.72	$235.72	$235.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $767.18 / $3,500.00	Professional		$30.00	$767.18	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,584.34 / $20,714.68 / $28,539.36	Facility		$10,584.34	$20,714.68	$28,539.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $627.28 / $677.23 / $677.23	Professional		$627.28	$677.23	$677.23
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
United Facility/Professional Professional Modifier Low / Median / High Price $395.54 / $548.00 / $811.04	Professional		$395.54	$548.00	$811.04