Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $3,348.36 / $4,389.93	Facility		$639.00	$3,348.36	$4,389.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $639.00 / $639.00	Professional		$639.00	$639.00	$639.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $816.50 / $852.00	Facility		$710.00	$816.50	$852.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.72 / $735.25 / $984.65	Professional		$645.72	$735.25	$984.65
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $426.00	Professional		$298.20	$298.20	$426.00