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 $843.14 / $1,023.45 / $13,531.45	Professional		$843.14	$1,023.45	$13,531.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.02 / $1,023.45 / $1,290.65	Facility		$926.02	$1,023.45	$1,290.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.32 / $1,525.32 / $1,525.32	Professional		$1,525.32	$1,525.32	$1,525.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,818.65 / $2,287.96	Professional		$30.00	$1,818.65	$2,287.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $834.94 / $1,084.55 / $1,446.36	Professional		$834.94	$1,084.55	$1,446.36
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.88 / $960.40 / $2,300.42	Professional		$420.88	$960.40	$2,300.42