Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $4,500.00 / $7,205.00	Facility		$318.75	$4,500.00	$7,205.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $69.41 / $126.30	Facility		$42.87	$69.41	$126.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.28 / $807.85 / $1,259.20	Facility		$453.28	$807.85	$1,259.20
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