Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $2,922.00 / $4,312.00	Facility		$149.16	$2,922.00	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $151.84 / $631.58	Professional		$80.94	$151.84	$631.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $218.46 / $310.89	Professional		$165.80	$218.46	$310.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $143.16 / $194.07	Professional		$103.95	$143.16	$194.07
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 $166.79 / $220.66 / $294.08	Professional		$166.79	$220.66	$294.08
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 $161.00 / $199.28 / $287.97	Professional		$161.00	$199.28	$287.97