Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.05 / $820.51 / $3,911.22	Facility		$359.05	$820.51	$3,911.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $313.70 / $359.05	Professional		$302.36	$313.70	$359.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $344.54 / $530.46	Facility		$237.80	$344.54	$530.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $944.25 / $944.25 / $944.25	Professional		$944.25	$944.25	$944.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $191.25 / $700.15	Professional		$30.00	$191.25	$700.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $430.86 / $448.81	Professional		$359.05	$430.86	$448.81
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $502.67	Professional		$359.05	$359.05	$502.67