Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.93 / $3,038.00 / $4,626.00	Facility		$801.93	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.70 / $801.93 / $3,104.08	Professional		$555.70	$801.93	$3,104.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $863.28 / $1,291.75	Professional		$636.41	$863.28	$1,291.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $401.61 / $644.60	Professional		$58.74	$401.61	$644.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $772.46 / $1,033.61 / $1,793.76	Professional		$772.46	$1,033.61	$1,793.76
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.69 / $744.80 / $1,182.67	Professional		$600.69	$744.80	$1,182.67