Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $164.45 / $200.82	Facility		$164.45	$164.45	$200.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $153.07 / $595.11	Professional		$104.19	$153.07	$595.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $179.52 / $273.10	Professional		$119.91	$179.52	$273.10
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 $233.72 / $298.76 / $435.38	Facility		$233.72	$298.76	$435.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $213.22 / $334.29	Professional		$148.93	$213.22	$334.29
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $152.07 / $242.67	Professional		$124.78	$152.07	$242.67