Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $237.67 / $237.67	Facility		$237.67	$237.67	$237.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.62 / $237.67 / $265.83	Professional		$198.62	$237.67	$265.83
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 $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $295.29 / $309.39	Professional		$251.00	$295.29	$309.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $292.39 / $460.54	Professional		$224.45	$292.39	$460.54