Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.39 / $741.75 / $3,977.00	Facility		$170.39	$741.75	$3,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $231.53 / $562.04	Professional		$120.66	$231.53	$562.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $277.51 / $409.66	Professional		$170.87	$277.51	$409.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $184.63 / $253.05	Professional		$27.49	$184.63	$253.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $571.79 / $756.04 / $1,101.77	Facility		$571.79	$756.04	$1,101.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $273.19 / $360.01	Professional		$167.53	$273.19	$360.01
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 $201.04 / $250.95 / $365.67	Professional		$201.04	$250.95	$365.67