Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $5,519.00 / $8,550.00	Facility		$4,500.00	$5,519.00	$8,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Professional		$4,500.00	$4,500.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.23 / $1,022.23 / $1,022.23	Facility		$1,022.23	$1,022.23	$1,022.23
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 $1,146.09 / $1,853.08 / $2,769.18	Facility		$1,146.09	$1,853.08	$2,769.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00