Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,822.00 / $3,822.00 / $3,822.00	Facility		$3,822.00	$3,822.00	$3,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $3,822.00	Professional		$973.77	$973.77	$3,822.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $1,022.46 / $2,093.61	Facility		$973.77	$1,022.46	$2,093.61
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 $4,316.71 / $4,316.71 / $4,759.59	Facility		$4,316.71	$4,316.71	$4,759.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.16 / $1,345.16 / $1,345.16	Professional		$1,345.16	$1,345.16	$1,345.16