Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.28 / $3,038.00 / $4,626.00	Facility		$185.28	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $203.92 / $789.00	Professional		$135.40	$203.92	$789.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $266.86 / $374.26	Professional		$201.33	$266.86	$374.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $157.07 / $201.45	Professional		$128.48	$157.07	$201.45
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 $201.47 / $267.92 / $360.15	Professional		$201.47	$267.92	$360.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $241.56 / $389.18	Professional		$193.73	$241.56	$389.18