Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,038.00 / $4,387.00	Facility		$2,400.00	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.01 / $2,400.00 / $2,400.00	Professional		$391.01	$2,400.00	$2,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $80.00	Professional		$30.00	$45.00	$80.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $873.66 / $1,190.82 / $1,735.36	Facility		$873.66	$1,190.82	$1,735.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.68 / $582.89 / $647.65	Professional		$439.68	$582.89	$647.65
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 $310.73 / $414.31 / $677.32	Professional		$310.73	$414.31	$677.32