Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $2,870.00 / $4,387.00	Facility		$258.39	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $258.39 / $986.34	Professional		$170.93	$258.39	$986.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $263.41 / $401.18	Professional		$190.93	$263.41	$401.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $148.82 / $221.89	Professional		$28.59	$148.82	$221.89
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 $215.40 / $317.02 / $497.27	Professional		$215.40	$317.02	$497.27
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 $172.86 / $222.84 / $371.27	Professional		$172.86	$222.84	$371.27