Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.76 / $332.76 / $332.76	Facility		$332.76	$332.76	$332.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $171.96 / $332.76	Professional		$134.90	$171.96	$332.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $180.56 / $332.76	Facility		$171.96	$180.56	$332.76
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 $427.71 / $604.74 / $894.63	Facility		$427.71	$604.74	$894.63