Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.19 / $289.19 / $289.19	Facility		$289.19	$289.19	$289.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $392.08	Professional		$171.15	$171.15	$392.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $179.71 / $289.19	Facility		$171.15	$179.71	$289.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $751.35 / $937.20 / $1,319.93	Facility		$751.35	$937.20	$1,319.93