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 $111.26 / $111.26 / $163.76	Professional		$111.26	$111.26	$163.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $113.49 / $209.61	Facility		$15.37	$113.49	$209.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $18.47 / $18.47	Professional		$18.47	$18.47	$18.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $30.00 / $3,500.00	Professional		$24.87	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $154.29 / $191.70	Facility		$110.27	$154.29	$191.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $38.81 / $45.54	Professional		$38.81	$38.81	$45.54
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,800.00 / $9,193.00	Facility		$180.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $37.58 / $55.17	Professional		$24.77	$37.58	$55.17