Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $630.99 / $909.01	Facility		$349.62	$630.99	$909.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.73 / $244.73 / $244.73	Professional		$244.73	$244.73	$244.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.66 / $681.76 / $749.94	Facility		$420.66	$681.76	$749.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $349.62 / $909.01	Professional		$349.62	$349.62	$909.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $681.76	Professional		$30.00	$30.00	$681.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.42 / $699.24 / $1,258.63	Facility		$524.42	$699.24	$1,258.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $522.38 / $522.38 / $540.15	Professional		$522.38	$522.38	$540.15
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $524.42	Professional		$146.84	$146.84	$524.42