Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $3,038.00 / $4,387.00	Facility		$640.00	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $640.00 / $640.00	Professional		$180.22	$640.00	$640.00
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 $2,904.80 / $3,669.11 / $5,334.93	Facility		$2,904.80	$3,669.11	$5,334.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $253.16 / $292.02	Professional		$217.69	$253.16	$292.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $7,693.00 / $13,847.00	Facility		$2,912.00	$7,693.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $239.76 / $422.65	Professional		$193.71	$239.76	$422.65