Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,377.19 / $1,377.19 / $1,377.19	Professional		$1,377.19	$1,377.19	$1,377.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.38 / $1,377.19 / $1,514.91	Facility		$1,059.38	$1,377.19	$1,514.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $706.25 / $847.50	Professional		$706.25	$706.25	$847.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,377.19	Professional		$30.00	$30.00	$1,377.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,055.70 / $1,055.70 / $1,090.77	Professional		$1,055.70	$1,055.70	$1,090.77
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $812.19	Professional		$296.63	$296.63	$812.19