Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.94 / $452.21 / $729.31	Facility		$288.94	$452.21	$729.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.82 / $6,572.09 / $8,615.14	Facility		$4,597.82	$6,572.09	$8,615.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00