Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $167.00 / $4,387.00	Facility		$123.35	$167.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $126.21 / $238.40	Professional		$89.67	$126.21	$238.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $176.50 / $233.81	Professional		$135.29	$176.50	$233.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $151.15 / $183.27	Professional		$117.29	$151.15	$183.27
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 $122.88 / $177.49 / $246.34	Professional		$122.88	$177.49	$246.34
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 $131.66 / $163.44 / $246.58	Professional		$131.66	$163.44	$246.58