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 $1,413.00 / $1,860.24 / $2,041.36	Professional		$1,413.00	$1,860.24	$2,041.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.30 / $1,796.66 / $2,381.11	Facility		$942.30	$1,796.66	$2,381.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.01 / $1,424.01 / $1,424.01	Professional		$1,424.01	$1,424.01	$1,424.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,499.12 / $3,500.00	Professional		$30.00	$1,499.12	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,959.15 / $1,959.15 / $2,060.63	Professional		$1,959.15	$1,959.15	$2,060.63
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 $1,851.78 / $2,600.92 / $3,927.93	Professional		$1,851.78	$2,600.92	$3,927.93