Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.52 / $794.52 / $794.52	Facility		$794.52	$794.52	$794.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.38 / $656.38 / $656.38	Professional		$656.38	$656.38	$656.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.81 / $656.38 / $748.27	Facility		$413.81	$656.38	$748.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.71 / $855.71 / $855.71	Professional		$855.71	$855.71	$855.71
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 $683.90 / $731.58 / $731.73	Professional		$683.90	$731.58	$731.73
United Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $476.10 / $802.94	Professional		$391.06	$476.10	$802.94