Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.45 / $2,910.00 / $4,387.00	Facility		$462.45	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $462.45 / $1,900.77	Professional		$338.89	$462.45	$1,900.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.28 / $489.65 / $800.23	Professional		$360.28	$489.65	$800.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $244.94 / $404.13	Professional		$28.82	$244.94	$404.13
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 $493.03 / $620.09 / $887.88	Professional		$493.03	$620.09	$887.88
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 $330.48 / $433.76 / $650.16	Professional		$330.48	$433.76	$650.16