Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.29 / $1,291.29 / $10,965.60	Facility		$1,291.29	$1,291.29	$10,965.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,291.29	Professional		$1,085.10	$1,085.11	$1,291.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,139.38 / $1,388.95	Facility		$1,085.11	$1,139.38	$1,388.95
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