Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $2,910.00 / $4,387.00	Facility		$73.50	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $143.52 / $233.62	Professional		$73.50	$143.52	$233.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $165.12 / $258.91	Professional		$87.67	$165.12	$258.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $114.56 / $148.85	Professional		$92.16	$114.56	$148.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $155.21 / $272.94	Professional		$99.60	$155.21	$272.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $171.20 / $316.79	Professional		$142.12	$171.20	$316.79