Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $3,038.00 / $4,626.00	Facility		$165.04	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $199.80 / $361.20	Professional		$119.59	$199.80	$361.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $256.32 / $354.76	Professional		$182.71	$256.32	$354.76
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 $171.95 / $259.14 / $362.58	Professional		$171.95	$259.14	$362.58
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 $195.75 / $244.08 / $362.25	Professional		$195.75	$244.08	$362.25