Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.07 / $1,377.66 / $1,511.82	Professional		$1,053.07	$1,377.66	$1,511.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,053.07 / $1,377.66 / $1,763.40	Facility		$1,053.07	$1,377.66	$1,763.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,609.41 / $1,609.41 / $1,792.65	Professional		$1,609.41	$1,609.41	$1,792.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.89 / $1,684.38 / $2,415.21	Professional		$1,177.89	$1,684.38	$2,415.21