Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $2,910.00 / $4,387.00	Facility		$155.78	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $310.52 / $541.91	Professional		$155.78	$310.52	$541.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $318.97 / $611.10	Professional		$171.48	$318.97	$611.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $285.88 / $357.42	Professional		$228.43	$285.88	$357.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.47 / $297.77 / $545.39	Professional		$191.47	$297.77	$545.39
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 $291.16 / $413.03 / $744.92	Professional		$291.16	$413.03	$744.92