Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $3,038.00 / $5,743.00	Facility		$162.56	$3,038.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $184.93 / $319.39	Professional		$162.56	$184.93	$319.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.00	Professional		$30.00	$30.00	$60.00
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 $241.32 / $301.42 / $559.65	Professional		$241.32	$301.42	$559.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $272.44 / $481.00	Professional		$155.72	$272.44	$481.00