Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Facility		$103.22	$103.22	$103.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $103.22 / $104.43	Professional		$97.14	$103.22	$104.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $104.43 / $149.33	Facility		$25.90	$104.43	$149.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $220.38 / $374.65	Facility		$154.27	$220.38	$374.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $134.50	Professional		$107.60	$107.60	$134.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19