Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $124.84 / $124.84	Facility		$124.84	$124.84	$124.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $113.79 / $113.79	Professional		$53.47	$113.79	$113.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $54.54 / $76.45	Facility		$31.94	$54.54	$76.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.71	Professional		$1.71	$1.71	$1.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $104.77 / $117.12	Facility		$104.77	$104.77	$117.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $51.24 / $90.55	Professional		$43.55	$51.24	$90.55
United Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $77.86 / $117.65	Professional		$62.29	$77.86	$117.65