Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.04 / $401.04 / $401.04	Facility		$401.04	$401.04	$401.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.63 / $340.95 / $340.95	Professional		$322.63	$340.95	$340.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.99 / $658.99 / $731.54	Professional		$658.99	$658.99	$731.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $393.41 / $965.54	Facility		$164.90	$393.41	$965.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.04 / $401.04 / $401.04	Professional		$401.04	$401.04	$401.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.43 / $279.30	Professional		$32.34	$114.43	$279.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,401.05 / $12,194.46 / $18,849.31	Facility		$6,401.05	$12,194.46	$18,849.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $326.06 / $376.57	Professional		$277.14	$326.06	$376.57
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $219.54 / $410.43	Professional		$174.67	$219.54	$410.43