Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $3,038.00 / $4,768.83	Facility		$79.95	$3,038.00	$4,768.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $121.18 / $398.79	Professional		$66.47	$121.18	$398.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $134.66 / $200.14	Professional		$91.17	$134.66	$200.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $100.72 / $131.97	Professional		$75.93	$100.72	$131.97
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 $94.10 / $136.44 / $188.04	Professional		$94.10	$136.44	$188.04
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 $103.07 / $128.52 / $185.70	Professional		$103.07	$128.52	$185.70