Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.18 / $2,910.00 / $4,387.00	Facility		$188.18	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $188.18 / $768.86	Professional		$135.69	$188.18	$768.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $188.00 / $285.57	Professional		$144.47	$188.00	$285.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $90.34 / $127.13	Professional		$25.98	$90.34	$127.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $447.13 / $651.60	Facility		$340.97	$447.13	$651.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $236.40 / $352.15	Professional		$200.60	$236.40	$352.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $154.66 / $245.39	Professional		$124.36	$154.66	$245.39