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 $52.43 / $68.69 / $80.39	Professional		$52.43	$68.69	$80.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $71.86 / $90.84	Facility		$36.61	$71.86	$90.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $112.89	Professional		$30.00	$55.00	$112.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $95.55 / $116.73	Facility		$71.41	$95.55	$116.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $110.45 / $115.33	Professional		$93.88	$110.45	$115.33
United Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $101.66 / $141.18	Professional		$78.56	$101.66	$141.18