Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.61 / $3,064.00 / $4,707.00	Facility		$364.61	$3,064.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $366.59 / $400.12	Professional		$309.45	$366.59	$400.12
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 $1,690.79 / $3,607.85 / $5,257.67	Facility		$1,690.79	$3,607.85	$5,257.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $383.17 / $450.79 / $474.65	Professional		$383.17	$450.79	$474.65
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 $356.80 / $513.24 / $827.28	Professional		$356.80	$513.24	$827.28