Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $3,038.00 / $4,387.00	Facility		$168.70	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $129.32 / $673.74	Professional		$104.79	$129.32	$673.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $167.65 / $289.14	Professional		$124.23	$167.65	$289.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $122.33 / $150.06	Professional		$94.71	$122.33	$150.06
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 $175.80 / $210.25 / $272.30	Professional		$175.80	$210.25	$272.30
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 $107.20 / $139.84 / $217.12	Professional		$107.20	$139.84	$217.12