Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.11 / $828.64 / $1,399.34	Professional		$819.11	$828.64	$1,399.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $1,060.66 / $1,791.16	Facility		$47.78	$1,060.66	$1,791.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $33.94	Professional		$33.94	$33.94	$33.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $76.02 / $3,500.00	Professional		$30.00	$76.02	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,284.43 / $8,522.07 / $10,689.08	Facility		$6,284.43	$8,522.07	$10,689.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $301.79 / $301.79 / $663.23	Professional		$301.79	$301.79	$663.23
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 $538.46 / $839.25 / $1,380.10	Professional		$538.46	$839.25	$1,380.10