Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $45.03 / $49.01	Professional		$38.15	$45.03	$49.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $48.83 / $105.04	Facility		$38.15	$48.83	$105.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $95.27 / $116.73	Facility		$71.41	$95.27	$116.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.38 / $123.38	Professional		$123.00	$123.38	$123.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $60.28 / $80.58	Professional		$44.39	$60.28	$80.58