Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $67.84 / $67.84	Facility		$67.84	$67.84	$67.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $67.84 / $72.37	Professional		$53.14	$67.84	$72.37
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 $92.09 / $116.32 / $169.01	Facility		$92.09	$116.32	$169.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $83.49 / $91.79	Professional		$75.14	$83.49	$91.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $74.70 / $124.21	Professional		$70.33	$74.70	$124.21