Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.27 / $3,038.00 / $4,626.00	Facility		$129.27	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $147.30 / $310.17	Professional		$109.20	$147.30	$310.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $208.83 / $304.68	Professional		$147.11	$208.83	$304.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $141.00 / $196.99	Professional		$101.09	$141.00	$196.99
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 $140.59 / $218.16 / $304.33	Professional		$140.59	$218.16	$304.33
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 $163.62 / $206.80 / $303.80	Professional		$163.62	$206.80	$303.80