Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $1,794.81 / $4,387.00	Facility		$117.04	$1,794.81	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $139.72 / $572.26	Professional		$75.30	$139.72	$572.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $184.95 / $269.29	Professional		$133.18	$184.95	$269.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $127.35 / $167.13	Professional		$101.39	$127.35	$167.13
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 $128.78 / $189.21 / $252.66	Professional		$128.78	$189.21	$252.66
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 $139.44 / $173.43 / $280.14	Professional		$139.44	$173.43	$280.14