Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.50 / $2,910.00 / $4,387.00	Facility		$156.50	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $195.09 / $350.05	Professional		$111.49	$195.09	$350.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $252.10 / $359.08	Professional		$167.39	$252.10	$359.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $185.41 / $233.65	Professional		$152.97	$185.41	$233.65
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 $164.94 / $251.42 / $350.62	Professional		$164.94	$251.42	$350.62
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 $186.84 / $235.80 / $343.35	Professional		$186.84	$235.80	$343.35