Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $416.87	Professional		$281.84	$407.38	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $630.96	Facility		$128.82	$338.84	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $549.54	Professional		$338.84	$338.84	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $575.44	Facility		$346.74	$416.87	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $426.58	Professional		$389.05	$407.38	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Facility		$416.87	$575.44	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $575.44	Professional		$338.84	$524.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82