Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.25 / $174.25 / $174.25	Facility		$174.25	$174.25	$174.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $140.34 / $174.25	Professional		$118.08	$140.34	$174.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $148.76 / $200.69	Facility		$118.08	$148.76	$200.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $257.14 / $377.23	Facility		$138.75	$257.14	$377.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $256.20 / $264.83	Professional		$256.20	$256.20	$264.83
United Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $183.44 / $256.81	Professional		$145.56	$183.44	$256.81