Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $2,910.00 / $4,387.00	Facility		$135.41	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $251.10 / $397.31	Professional		$135.41	$251.10	$397.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $254.52 / $443.81	Professional		$142.27	$254.52	$443.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $162.83 / $226.42	Professional		$25.54	$162.83	$226.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $1,043.22 / $1,520.27	Facility		$765.38	$1,043.22	$1,520.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.86 / $258.01 / $433.41	Professional		$179.86	$258.01	$433.41
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 $224.75 / $293.47 / $537.91	Professional		$224.75	$293.47	$537.91