Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.13 / $1,401.00 / $4,500.00	Facility		$785.13	$1,401.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.39 / $659.78 / $1,307.00	Facility		$304.39	$659.78	$1,307.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,657.94 / $2,392.64 / $3,575.46	Facility		$1,657.94	$2,392.64	$3,575.46
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