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 $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.09 / $1,322.09 / $1,322.09	Facility		$1,322.09	$1,322.09	$1,322.09
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 Facility Modifier Low / Median / High Price $335.97 / $565.71 / $740.08	Facility		$335.97	$565.71	$740.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $92.97 / $111.57	Professional		$92.97	$92.97	$111.57
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00