Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $2,910.00 / $4,387.00	Facility		$189.36	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $189.36 / $701.73	Professional		$121.80	$189.36	$701.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $205.11 / $320.52	Professional		$149.77	$205.11	$320.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $130.13 / $167.39	Professional		$104.91	$130.13	$167.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,304.17 / $3,047.35 / $4,440.85	Facility		$2,304.17	$3,047.35	$4,440.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $251.90 / $395.81	Professional		$178.71	$251.90	$395.81
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 $147.41 / $181.44 / $295.77	Professional		$147.41	$181.44	$295.77