Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $2,910.00 / $4,387.00	Facility		$83.29	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $107.84 / $241.32	Professional		$60.80	$107.84	$241.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $134.27 / $195.05	Professional		$73.95	$134.27	$195.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $90.31 / $112.17	Professional		$70.11	$90.31	$112.17
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 $66.42 / $127.90 / $203.08	Professional		$66.42	$127.90	$203.08
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 $103.84 / $125.84 / $201.26	Professional		$103.84	$125.84	$201.26