Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.93 / $2,016.08 / $2,016.08	Facility		$737.93	$2,016.08	$2,016.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $737.93 / $1,815.68	Professional		$531.89	$737.93	$1,815.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $585.08 / $903.01	Facility		$531.89	$585.08	$903.01
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