Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.12 / $114.24 / $4,387.00	Facility		$67.12	$114.24	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $114.24 / $452.99	Professional		$51.51	$114.24	$452.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $129.31 / $213.41	Professional		$70.36	$129.31	$213.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $115.00 / $148.82	Professional		$93.03	$115.00	$148.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $379.59 / $553.17	Facility		$297.07	$379.59	$553.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $113.28 / $213.43	Professional		$65.31	$113.28	$213.43
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $139.65 / $199.50	Professional		$111.02	$139.65	$199.50