Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $1,373.60 / $5,944.80	Professional		$194.80	$1,373.60	$5,944.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,289.50 / $3,412.50 / $3,655.00	Facility		$3,289.50	$3,412.50	$3,655.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.00 / $2,091.00 / $2,091.00	Professional		$2,091.00	$2,091.00	$2,091.00
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 $7,813.85 / $12,974.31 / $17,482.34	Facility		$7,813.85	$12,974.31	$17,482.34
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00