Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.06 / $3,084.00 / $4,626.00	Facility		$252.06	$3,084.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $280.16 / $513.53	Professional		$178.98	$280.16	$513.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.16 / $389.23 / $529.49	Professional		$263.16	$389.23	$529.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $246.45 / $347.36	Professional		$25.65	$246.45	$347.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.36 / $374.54 / $521.09	Professional		$262.36	$374.54	$521.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $337.87 / $515.51	Professional		$277.50	$337.87	$515.51