Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.33 / $843.94 / $1,424.90	Professional		$669.33	$843.94	$1,424.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.04 / $1,303.07 / $1,780.11	Facility		$559.04	$1,303.07	$1,780.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $735.24 / $997.41 / $1,487.46	Professional		$735.24	$997.41	$1,487.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,034.44	Professional		$32.34	$32.34	$1,034.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,412.57 / $9,164.31 / $11,714.67	Facility		$6,412.57	$9,164.31	$11,714.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,080.14 / $1,173.71 / $1,336.34	Professional		$1,080.14	$1,173.71	$1,336.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $9,360.00 / $17,870.00	Facility		$1,400.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.92 / $1,017.37 / $1,491.19	Professional		$715.92	$1,017.37	$1,491.19