Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $617.41 / $817.27	Professional		$15.00	$617.41	$817.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $635.94 / $790.30	Facility		$617.41	$635.94	$790.30
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 $1,432.26 / $1,824.32 / $2,763.25	Facility		$1,432.26	$1,824.32	$2,763.25