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 $163.05 / $173.43 / $216.99	Professional		$163.05	$173.43	$216.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $173.43 / $216.99	Facility		$138.59	$173.43	$216.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.65 / $257.72 / $395.16	Facility		$253.65	$257.72	$395.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $252.73 / $348.10	Professional		$214.82	$252.73	$348.10
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 $191.76 / $253.80 / $332.77	Professional		$191.76	$253.80	$332.77