Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $2,744.00 / $4,626.00	Facility		$103.58	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $129.22 / $310.67	Professional		$91.63	$129.22	$310.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $152.99 / $224.09	Professional		$116.26	$152.99	$224.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $100.72 / $133.49	Professional		$75.93	$100.72	$133.49
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 $119.56 / $159.78 / $203.78	Professional		$119.56	$159.78	$203.78
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 $114.52 / $143.28 / $204.89	Professional		$114.52	$143.28	$204.89