Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.21 / $1,059.21 / $1,059.21	Professional		$1,059.21	$1,059.21	$1,059.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.21 / $1,059.21 / $1,059.21	Facility		$1,059.21	$1,059.21	$1,059.21
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 $1,798.35 / $2,594.87 / $3,169.92	Facility		$1,798.35	$2,594.87	$3,169.92