Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.11 / $793.11 / $793.11	Facility		$793.11	$793.11	$793.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $655.23	Professional		$655.23	$655.23	$655.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.08 / $655.23 / $746.96	Facility		$413.08	$655.23	$746.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.06 / $854.06 / $854.06	Professional		$854.06	$854.06	$854.06
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 $1,028.19 / $1,516.53 / $2,019.13	Facility		$1,028.19	$1,516.53	$2,019.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $681.99 / $728.16 / $729.74	Professional		$681.99	$728.16	$729.74
United Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $474.83 / $814.68	Professional		$387.97	$474.83	$814.68