Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $1,500.72 / $3,809.00	Facility		$112.73	$1,500.72	$3,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $75.89 / $157.50	Professional		$37.28	$75.89	$157.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $128.19 / $183.92	Professional		$57.28	$128.19	$183.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $85.61 / $110.30	Professional		$69.52	$85.61	$110.30
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 $60.44 / $96.14 / $200.89	Professional		$60.44	$96.14	$200.89
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 $102.63 / $125.98 / $230.75	Professional		$102.63	$125.98	$230.75