Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,675.62 / $4,500.00 / $7,609.60	Facility		$2,675.62	$4,500.00	$7,609.60
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 $882.97 / $882.97 / $882.97	Facility		$882.97	$882.97	$882.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,614.19 / $8,752.65 / $11,549.09	Facility		$5,614.19	$8,752.65	$11,549.09
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