Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,326.00 / $4,500.00	Professional		$1,300.00	$1,326.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.02 / $548.02 / $548.02	Facility		$548.02	$548.02	$548.02
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 $2,651.10 / $5,756.01 / $7,201.73	Facility		$2,651.10	$5,756.01	$7,201.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,618.56 / $1,618.56 / $1,618.56	Professional		$1,618.56	$1,618.56	$1,618.56
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,450.00 / $7,609.00	Facility		$500.00	$3,450.00	$7,609.00