Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $170.01 / $170.01	Facility		$170.01	$170.01	$170.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $218.33 / $246.99	Professional		$170.01	$218.33	$246.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.33 / $246.99 / $353.20	Facility		$218.33	$246.99	$353.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $313.60 / $358.40	Professional		$295.68	$313.60	$358.40
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 Professional Modifier Low / Median / High Price $225.02 / $251.00 / $288.92	Professional		$225.02	$251.00	$288.92
United Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $250.79 / $365.38	Professional		$205.19	$250.79	$365.38