Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $11,028.81 / $16,633.66	Facility		$4,500.00	$11,028.81	$16,633.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $612.50 / $4,189.43	Professional		$274.43	$612.50	$4,189.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.19 / $1,158.19 / $1,158.19	Facility		$1,158.19	$1,158.19	$1,158.19
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 $400.01 / $563.48 / $714.51	Facility		$400.01	$563.48	$714.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $89.76 / $107.71	Professional		$89.76	$89.76	$107.71
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