Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $109.40 / $109.40	Facility		$109.40	$109.40	$109.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $61.19 / $109.40	Facility		$58.28	$61.19	$109.40
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 $265.04 / $374.74 / $479.57	Facility		$265.04	$374.74	$479.57