Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.09 / $3,084.00 / $4,707.00	Facility		$138.09	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $138.09 / $138.09	Professional		$138.09	$138.09	$138.09
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 $92.09 / $116.32 / $169.01	Facility		$92.09	$116.32	$169.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $170.41 / $171.25	Professional		$146.84	$170.41	$171.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $154.10 / $256.20	Professional		$145.08	$154.10	$256.20