Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.16 / $406.16 / $406.16	Facility		$406.16	$406.16	$406.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $179.00 / $211.54	Professional		$138.01	$179.00	$211.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $189.74 / $255.97	Facility		$179.00	$189.74	$255.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $481.35 / $481.35	Professional		$481.35	$481.35	$481.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $78.00	Professional		$55.00	$55.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.60 / $293.30 / $449.72	Facility		$288.60	$293.30	$449.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $302.00	Professional		$287.56	$287.56	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $211.64 / $392.37	Professional		$166.59	$211.64	$392.37