Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.57 / $1,407.00 / $7,045.00	Facility		$1,113.57	$1,407.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $7,045.00	Professional		$4,500.00	$4,500.00	$7,045.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.76 / $562.76 / $562.76	Facility		$562.76	$562.76	$562.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $491.54 / $606.59	Facility		$255.09	$491.54	$606.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00