Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Facility		$129.41	$129.41	$129.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $110.01 / $129.41	Professional		$103.54	$110.01	$129.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $117.98 / $159.16	Facility		$110.01	$117.98	$159.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Professional		$102.68	$102.68	$102.68
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 $147.47 / $154.53 / $226.64	Facility		$147.47	$154.53	$226.64
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $181.19	Professional		$129.41	$129.41	$181.19