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 $623.37 / $623.37 / $623.37	Facility		$623.37	$623.37	$623.37
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 $525.14 / $722.66 / $882.81	Facility		$525.14	$722.66	$882.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $202.33 / $202.33	Professional		$202.33	$202.33	$202.33
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,800.00 / $9,193.00	Facility		$180.00	$1,800.00	$9,193.00