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 $233.46 / $266.02 / $291.94	Professional		$233.46	$266.02	$291.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.46 / $269.83 / $340.52	Facility		$233.46	$269.83	$340.52
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 $377.60 / $377.60 / $396.74	Professional		$377.60	$377.60	$396.74
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 $273.24 / $379.49 / $561.66	Professional		$273.24	$379.49	$561.66