Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $48.99 / $114.92	Professional		$48.99	$48.99	$114.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.12 / $574.87 / $825.31	Facility		$404.12	$574.87	$825.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $73.54 / $302.97	Professional		$66.19	$73.54	$302.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $81.06 / $310.60	Professional		$44.16	$81.06	$310.60