Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.38 / $1,264.38 / $1,821.46	Facility		$1,264.38	$1,264.38	$1,821.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.39 / $490.39 / $490.39	Professional		$490.39	$490.39	$490.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $842.92 / $1,366.09 / $1,502.70	Facility		$842.92	$1,366.09	$1,502.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $700.56	Professional		$30.00	$30.00	$700.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $1,401.12 / $2,522.02	Facility		$1,050.83	$1,401.12	$2,522.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.24 / $1,047.24 / $1,081.86	Professional		$1,047.24	$1,047.24	$1,081.86
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $805.64	Professional		$294.24	$294.24	$805.64