Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $159.19 / $159.19	Professional		$159.19	$159.19	$159.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.88 / $792.88 / $792.88	Facility		$792.88	$792.88	$792.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,263.85 / $2,038.31 / $3,590.36	Facility		$1,263.85	$2,038.31	$3,590.36
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