Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.51 / $1,338.51 / $1,928.26	Facility		$1,338.51	$1,338.51	$1,928.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $519.15 / $519.15	Professional		$519.15	$519.15	$519.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.34 / $1,446.20 / $1,590.82	Facility		$892.34	$1,446.20	$1,590.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,112.46 / $1,483.28 / $2,669.90	Facility		$1,112.46	$1,483.28	$2,669.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,108.43 / $1,108.43 / $1,145.72	Professional		$1,108.43	$1,108.43	$1,145.72
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $311.49 / $1,112.46	Professional		$311.49	$311.49	$1,112.46