Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.92 / $197.92 / $197.92	Facility		$197.92	$197.92	$197.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $197.92 / $197.92	Professional		$197.92	$197.92	$197.92
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 $2,161.82 / $2,730.63 / $3,923.50	Facility		$2,161.82	$2,730.63	$3,923.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $261.83 / $302.47	Professional		$179.59	$261.83	$302.47
United Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $217.30 / $364.79	Professional		$175.59	$217.30	$364.79