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 $216.54 / $292.18 / $333.28	Professional		$216.54	$292.18	$333.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.18 / $309.70 / $426.60	Facility		$292.18	$309.70	$426.60
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 $500.98 / $500.98 / $526.54	Professional		$500.98	$500.98	$526.54
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 $322.20 / $420.65 / $586.95	Professional		$322.20	$420.65	$586.95