Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $3,038.00 / $5,223.81	Facility		$138.65	$3,038.00	$5,223.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $165.43 / $639.25	Professional		$88.03	$165.43	$639.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $199.38 / $281.32	Professional		$150.72	$199.38	$281.32
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 $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 $151.29 / $199.63 / $268.52	Professional		$151.29	$199.63	$268.52
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 $147.54 / $184.42 / $301.49	Professional		$147.54	$184.42	$301.49