Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.45 / $3,038.00 / $4,626.00	Facility		$194.45	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $223.56 / $450.35	Professional		$140.66	$223.56	$450.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.79 / $295.26 / $400.69	Professional		$213.79	$295.26	$400.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $184.90 / $252.89	Professional		$27.49	$184.90	$252.89
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 $201.11 / $296.69 / $414.26	Professional		$201.11	$296.69	$414.26
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 $223.01 / $276.83 / $415.12	Professional		$223.01	$276.83	$415.12