Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.51 / $2,910.00 / $4,387.00	Facility		$180.51	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $211.92 / $415.54	Professional		$128.50	$211.92	$415.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $278.66 / $377.95	Professional		$190.71	$278.66	$377.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $185.41 / $233.34	Professional		$151.86	$185.41	$233.34
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 $187.08 / $276.17 / $391.10	Professional		$187.08	$276.17	$391.10
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 $208.17 / $256.95 / $388.71	Professional		$208.17	$256.95	$388.71