Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.77 / $155.77 / $155.77	Facility		$155.77	$155.77	$155.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $141.97 / $141.97	Professional		$66.91	$141.97	$141.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $68.25 / $103.85	Facility		$56.87	$68.25	$103.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $70.45 / $70.45	Professional		$70.45	$70.45	$70.45
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 $130.19 / $130.19 / $146.22	Facility		$130.19	$130.19	$146.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $106.96 / $112.53	Professional		$90.92	$106.96	$112.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $108.00 / $146.87	Professional		$77.95	$108.00	$146.87