Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $2,910.00 / $4,387.00	Facility		$155.10	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $194.48 / $583.78	Professional		$110.21	$194.48	$583.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $245.46 / $342.58	Professional		$168.87	$245.46	$342.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $185.41 / $232.89	Professional		$151.86	$185.41	$232.89
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 $164.21 / $250.68 / $348.36	Professional		$164.21	$250.68	$348.36
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 $185.49 / $233.59 / $346.97	Professional		$185.49	$233.59	$346.97