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 $1,650.84 / $1,881.96 / $2,065.19	Professional		$1,650.84	$1,881.96	$2,065.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.84 / $1,934.76 / $2,450.15	Facility		$1,650.84	$1,934.76	$2,450.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.53 / $2,286.53 / $2,286.53	Professional		$2,286.53	$2,286.53	$2,286.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,078.02 / $3,429.80	Professional		$30.00	$3,078.02	$3,429.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,671.58 / $2,671.58 / $2,810.13	Professional		$2,671.58	$2,671.58	$2,810.13
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 $1,933.43 / $2,877.76 / $4,210.82	Professional		$1,933.43	$2,877.76	$4,210.82