Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,500.00 / $5,519.00	Facility		$4,000.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.01 / $1,855.39 / $2,036.10	Professional		$1,628.01	$1,855.39	$2,036.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.01 / $2,083.85 / $2,374.90	Facility		$1,628.01	$2,083.85	$2,374.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,311.88 / $2,311.88 / $2,631.66	Professional		$2,311.88	$2,311.88	$2,631.66
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 $2,001.67 / $2,811.13 / $4,245.38	Professional		$2,001.67	$2,811.13	$4,245.38