Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $185.72 / $185.72	Facility		$185.72	$185.72	$185.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $81.98 / $96.73	Professional		$63.09	$81.98	$96.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $86.08 / $123.81	Facility		$70.33	$86.08	$123.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.08 / $251.08 / $251.08	Professional		$251.08	$251.08	$251.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $312.54 / $387.23	Facility		$230.28	$312.54	$387.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $105.47 / $150.74	Professional		$105.47	$105.47	$150.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $119.10 / $166.32	Professional		$87.12	$119.10	$166.32