Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $49.86 / $49.86	Facility		$49.86	$49.86	$49.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $42.38 / $49.86	Professional		$39.89	$42.38	$49.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $42.88 / $61.32	Facility		$36.18	$42.88	$61.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $949.79	Professional		$46.32	$46.32	$949.79
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 $1,364.11 / $1,429.37 / $2,096.40	Facility		$1,364.11	$1,429.37	$2,096.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $59.19	Professional		$42.28	$42.28	$59.19