Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $147.69 / $185.18	Professional		$147.69	$147.69	$185.18
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 $175.39 / $206.34 / $303.56	Facility		$175.39	$206.34	$303.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $224.66 / $1,422.46	Professional		$190.80	$224.66	$1,422.46
United Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $210.32 / $344.16	Professional		$157.74	$210.32	$344.16