Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $2,744.00 / $4,626.00	Facility		$134.50	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $148.37 / $679.00	Professional		$77.95	$148.37	$679.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $193.45 / $273.14	Professional		$147.84	$193.45	$273.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $129.38 / $166.06	Professional		$101.39	$129.38	$166.06
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 $148.71 / $194.09 / $257.18	Professional		$148.71	$194.09	$257.18
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 $136.62 / $175.68 / $254.89	Professional		$136.62	$175.68	$254.89