Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $3,038.00 / $4,387.00	Facility		$142.86	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $200.79	Professional		$142.86	$142.86	$200.79
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 $297.07 / $379.59 / $553.17	Facility		$297.07	$379.59	$553.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $216.78 / $245.95	Professional		$195.10	$216.78	$245.95
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 $252.14 / $317.73 / $487.13	Professional		$252.14	$317.73	$487.13