Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $812.83	Professional		$575.44	$616.60	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,818.38	Facility		$741.31	$1,445.44	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,162.28	Professional		$1,258.93	$1,258.93	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $891.25	Facility		$489.78	$616.60	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $1,348.96 / $1,819.70 / $2,884.03	Facility		$1,348.96	$1,819.70	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,235.94	Professional		$1,258.93	$1,995.26	$3,235.94