Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $2,910.00 / $4,387.00	Facility		$221.81	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $239.54 / $847.30	Professional		$146.75	$239.54	$847.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $265.86 / $449.72	Professional		$187.33	$265.86	$449.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $186.96 / $237.32	Professional		$154.84	$186.96	$237.32
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 $213.23 / $370.84 / $564.22	Professional		$213.23	$370.84	$564.22
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 $204.98 / $257.52 / $418.91	Professional		$204.98	$257.52	$418.91