Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $295.12	Professional		$177.83	$204.17	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $446.68	Facility		$288.40	$288.40	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $331.13	Professional		$199.53	$288.40	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $186.21 / $407.38	Facility		$177.83	$186.21	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $295.12	Professional		$177.83	$199.53	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $426.58	Facility		$288.40	$288.40	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $331.13	Professional		$199.53	$316.23	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $363.08	Professional		$165.96	$213.80	$363.08