Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $2,833.00 / $4,387.00	Facility		$119.46	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $273.83 / $608.01	Professional		$119.46	$273.83	$608.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $278.43 / $589.25	Professional		$132.24	$278.43	$589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $284.12 / $367.35	Professional		$228.97	$284.12	$367.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $242.20 / $352.96	Facility		$186.54	$242.20	$352.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $368.16 / $508.16	Professional		$152.79	$368.16	$508.16
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 $263.17 / $347.04 / $694.07	Professional		$263.17	$347.04	$694.07