Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $3,038.00 / $4,387.00	Facility		$207.10	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $341.18 / $770.31	Professional		$132.28	$341.18	$770.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $400.54 / $623.48	Professional		$170.87	$400.54	$623.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $230.81 / $319.92	Professional		$25.98	$230.81	$319.92
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 $192.49 / $395.03 / $883.05	Professional		$192.49	$395.03	$883.05
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 $315.89 / $381.14 / $621.26	Professional		$315.89	$381.14	$621.26