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 $1,238.77 / $1,412.06 / $1,549.60	Professional		$1,238.77	$1,412.06	$1,549.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.77 / $1,585.63 / $1,838.62	Facility		$1,238.77	$1,585.63	$1,838.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.59 / $1,742.59 / $1,742.59	Professional		$1,742.59	$1,742.59	$1,742.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,345.79 / $3,500.00	Professional		$30.00	$2,345.79	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,108.78 / $2,149.19 / $2,149.19	Professional		$2,108.78	$2,149.19	$2,149.19
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 $1,454.05 / $2,027.13 / $2,981.46	Professional		$1,454.05	$2,027.13	$2,981.46