Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.82 / $3,038.00 / $4,676.93	Facility		$200.82	$3,038.00	$4,676.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $202.80 / $777.18	Professional		$135.43	$202.80	$777.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $235.51 / $362.58	Professional		$167.82	$235.51	$362.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $158.33 / $202.48	Professional		$129.88	$158.33	$202.48
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 $195.60 / $318.14 / $464.92	Professional		$195.60	$318.14	$464.92
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 $175.22 / $214.60 / $352.80	Professional		$175.22	$214.60	$352.80