Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $1,040.10 / $1,213.80	Professional		$224.97	$1,040.10	$1,213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.16 / $1,040.10 / $1,517.63	Facility		$911.16	$1,040.10	$1,517.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.03 / $1,151.03 / $1,151.03	Professional		$1,151.03	$1,151.03	$1,151.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,360.82 / $1,600.96 / $2,023.46	Professional		$1,360.82	$1,600.96	$2,023.46
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,700.00 / $26,104.00	Facility		$675.00	$3,700.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.53 / $1,759.16 / $2,401.92	Professional		$1,285.53	$1,759.16	$2,401.92