Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $245.47	Professional		$138.04	$162.18	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $154.88 / $199.53	Facility		$138.04	$154.88	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $177.83	Professional		$138.04	$158.49	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $288.40	Professional		$169.82	$218.78	$288.40