Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $461.04 / $4,312.00	Facility		$102.64	$461.04	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $172.62 / $492.75	Professional		$90.77	$172.62	$492.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $173.38 / $360.44	Professional		$116.32	$173.38	$360.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $162.83 / $225.87	Professional		$25.65	$162.83	$225.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $183.47 / $309.14	Professional		$117.34	$183.47	$309.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $209.65 / $328.80	Professional		$152.60	$209.65	$328.80