Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Facility		$94.00	$94.00	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $114.57	Professional		$94.00	$94.00	$114.57
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 Professional Modifier Low / Median / High Price $115.13 / $134.94 / $168.78	Professional		$115.13	$134.94	$168.78
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 $145.58 / $177.45 / $317.63	Professional		$145.58	$177.45	$317.63