Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $2,524.00 / $5,996.26	Facility		$121.61	$2,524.00	$5,996.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $143.69 / $259.45	Professional		$92.57	$143.69	$259.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $179.70 / $266.20	Professional		$133.28	$179.70	$266.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $129.38 / $166.06	Professional		$101.39	$129.38	$166.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $188.93 / $249.70	Professional		$131.72	$188.93	$249.70
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 $132.03 / $169.75 / $250.29	Professional		$132.03	$169.75	$250.29