Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $212.24 / $250.76	Professional		$163.59	$212.24	$250.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $222.85 / $320.97	Facility		$150.06	$222.85	$320.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $237.81 / $237.81 / $276.88	Professional		$237.81	$237.81	$276.88
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,800.00 / $9,193.00	Facility		$180.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.89 / $314.64 / $451.43	Professional		$233.89	$314.64	$451.43