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 $4,500.00 / $4,500.00 / $7,045.00	Professional		$4,500.00	$4,500.00	$7,045.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.26 / $909.26 / $909.26	Facility		$909.26	$909.26	$909.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,958.84 / $14,025.11 / $17,482.34	Facility		$9,958.84	$14,025.11	$17,482.34
United Facility/Professional Facility Modifier Low / Median / High Price $11,668.72 / $11,800.00 / $29,092.00	Facility		$11,668.72	$11,800.00	$29,092.00