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 $580.32 / $878.94 / $964.51	Professional		$580.32	$878.94	$964.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.32 / $856.15 / $1,125.04	Facility		$580.32	$856.15	$1,125.04
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 $933.81 / $933.81 / $981.90	Professional		$933.81	$933.81	$981.90
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 $556.64 / $979.20 / $1,610.24	Professional		$556.64	$979.20	$1,610.24