Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.68 / $883.24 / $1,179.99	Facility		$370.68	$883.24	$1,179.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.36 / $771.67 / $1,053.74	Professional		$707.36	$771.67	$1,053.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.60 / $836.76 / $1,506.85	Facility		$634.60	$836.76	$1,506.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $675.68 / $1,722.32	Professional		$30.00	$675.68	$1,722.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $1,059.89 / $1,104.05	Professional		$883.24	$1,059.89	$1,104.05
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,413.18	Professional		$883.24	$883.24	$1,413.18