Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.93 / $2,910.00 / $4,387.00	Facility		$121.93	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $167.54 / $419.27	Professional		$96.90	$167.54	$419.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $202.07 / $297.12	Professional		$138.76	$202.07	$297.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $143.52 / $190.84	Professional		$103.95	$143.52	$190.84
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 $135.79 / $208.70 / $292.58	Professional		$135.79	$208.70	$292.58
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 $161.97 / $198.06 / $288.70	Professional		$161.97	$198.06	$288.70