Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.19 / $519.94 / $4,387.00	Facility		$214.19	$519.94	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $301.43 / $641.30	Professional		$177.23	$301.43	$641.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $352.49 / $523.05	Professional		$236.04	$352.49	$523.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $227.80 / $317.80	Professional		$27.49	$227.80	$317.80
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 $226.94 / $350.94 / $476.83	Professional		$226.94	$350.94	$476.83
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 $253.53 / $324.51 / $472.34	Professional		$253.53	$324.51	$472.34