Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $160.75 / $160.75	Facility		$160.75	$160.75	$160.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $88.00 / $160.75	Professional		$84.27	$88.00	$160.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $112.64	Facility		$88.00	$88.00	$112.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.49 / $247.56 / $310.08	Facility		$184.49	$247.56	$310.08