Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $38.04 / $265.50	Facility		$30.40	$38.04	$265.50
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $152.10 / $206.40 / $275.44	Facility	25	$152.10	$206.40	$275.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $32.34 / $53.55	Facility		$11.33	$32.34	$53.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Facility		$156.66	$156.66	$156.66