Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $193.71 / $395.93	Facility		$153.13	$193.71	$395.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $152.18 / $263.75	Professional		$94.13	$152.18	$263.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $166.24 / $240.07	Professional		$114.43	$166.24	$240.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $122.33 / $150.99	Professional		$94.71	$122.33	$150.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $399.09 / $509.20 / $742.05	Facility		$399.09	$509.20	$742.05
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $598.64 / $763.80 / $1,113.08	Facility	50	$598.64	$763.80	$1,113.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $196.28 / $315.27	Professional		$129.36	$196.28	$315.27
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 $113.25 / $143.65 / $228.10	Professional		$113.25	$143.65	$228.10