Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.75 / $2,910.00 / $4,387.00	Facility		$222.75	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $256.10 / $920.24	Professional		$148.13	$256.10	$920.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.32 / $278.88 / $453.70	Professional		$183.32	$278.88	$453.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $185.41 / $254.26	Professional		$27.68	$185.41	$254.26
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 $207.60 / $370.66 / $623.57	Professional		$207.60	$370.66	$623.57
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 $222.60 / $277.50 / $449.54	Professional		$222.60	$277.50	$449.54