Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $2,910.00 / $4,312.00	Facility		$150.00	$2,910.00	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $162.26 / $340.48	Professional		$109.39	$162.26	$340.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $213.92 / $303.52	Professional		$163.09	$213.92	$303.52
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 $163.84 / $215.50 / $287.52	Professional		$163.84	$215.50	$287.52
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 $152.55 / $195.48 / $284.13	Professional		$152.55	$195.48	$284.13