Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $4,680.00 / $13,349.54	Facility		$218.49	$4,680.00	$13,349.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $209.53 / $391.60	Professional		$183.61	$209.53	$391.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $209.53 / $268.20	Facility		$183.61	$209.53	$268.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $305.33 / $3,500.00	Professional		$30.00	$305.33	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.79 / $317.39 / $318.31	Professional		$269.79	$317.39	$318.31
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $262.14 / $364.94	Professional		$172.87	$262.14	$364.94