Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $1,507.00 / $1,507.00	Facility		$1,507.00	$1,507.00	$1,507.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,507.00	Professional		$1,227.04	$1,227.04	$1,507.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,288.39 / $1,570.61	Facility		$1,227.04	$1,288.39	$1,570.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $613.69	Professional		$30.00	$30.00	$613.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,443.37 / $1,983.04 / $2,470.40	Facility		$1,443.37	$1,983.04	$2,470.40