Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $493.78 / $3,825.00	Facility		$216.21	$493.78	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $158.06 / $384.18	Professional		$99.05	$158.06	$384.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $196.91 / $315.16	Professional		$128.88	$196.91	$315.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $143.13 / $197.96	Professional		$101.39	$143.13	$197.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $873.66 / $1,190.82 / $1,735.36	Facility		$873.66	$1,190.82	$1,735.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $205.16 / $346.50	Professional		$121.40	$205.16	$346.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $199.80 / $313.68	Professional		$160.24	$199.80	$313.68