Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.58 / $2,870.00 / $4,387.00	Facility		$184.58	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $188.83 / $509.48	Professional		$114.82	$188.83	$509.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.83 / $262.00 / $358.49	Professional		$198.83	$262.00	$358.49
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 $199.26 / $263.75 / $344.29	Professional		$199.26	$263.75	$344.29
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 $181.17 / $232.20 / $341.26	Professional		$181.17	$232.20	$341.26