Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.75 / $1,657.50 / $7,045.00	Facility		$828.75	$1,657.50	$7,045.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $374.10 / $1,069.81	Facility		$139.85	$374.10	$1,069.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,164.71 / $3,858.04 / $5,765.31	Facility		$2,164.71	$3,858.04	$5,765.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00