Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.23 / $2,910.00 / $4,387.00	Facility		$203.23	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $234.07 / $583.52	Professional		$129.61	$234.07	$583.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.27 / $306.85 / $416.76	Professional		$213.27	$306.85	$416.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $180.62 / $252.89	Professional		$25.65	$180.62	$252.89
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 $212.91 / $309.58 / $433.37	Professional		$212.91	$309.58	$433.37
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 $228.69 / $287.66 / $429.68	Professional		$228.69	$287.66	$429.68