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 $282.56 / $395.88 / $470.74	Professional		$282.56	$395.88	$470.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $428.97 / $549.08	Facility		$376.48	$428.97	$549.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $518.02 / $609.44 / $641.16	Professional		$518.02	$609.44	$641.16
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 $441.74 / $611.99 / $905.77	Professional		$441.74	$611.99	$905.77