Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.54 / $2,744.00 / $5,743.00	Facility		$219.54	$2,744.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $285.88 / $822.50	Professional		$147.99	$285.88	$822.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $304.49 / $508.92	Professional		$181.17	$304.49	$508.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $202.79 / $287.09	Professional		$28.59	$202.79	$287.09
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 $216.05 / $389.00 / $643.51	Professional		$216.05	$389.00	$643.51
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 $248.70 / $306.73 / $480.82	Professional		$248.70	$306.73	$480.82