Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $4,500.00 / $7,045.00	Facility		$123.75	$4,500.00	$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 $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 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $357.08 / $487.99 / $784.55	Facility		$357.08	$487.99	$784.55
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