Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.25 / $2,910.00 / $4,387.00	Facility		$102.25	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $125.11 / $234.54	Professional		$81.44	$125.11	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $160.61 / $228.76	Professional		$108.91	$160.61	$228.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $122.33 / $150.06	Professional		$94.37	$122.33	$150.06
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 $102.21 / $161.00 / $221.37	Professional		$102.21	$161.00	$221.37
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 $120.35 / $149.40 / $240.70	Professional		$120.35	$149.40	$240.70