Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.49 / $2,910.00 / $4,387.00	Facility		$118.49	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $170.20 / $269.94	Professional		$102.88	$170.20	$269.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $202.14 / $341.22	Professional		$124.26	$202.14	$341.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $127.13 / $168.16	Professional		$100.12	$127.13	$168.16
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 Facility Modifier 50 Low / Median / High Price $524.99 / $694.70 / $1,012.38	Facility	50	$524.99	$694.70	$1,012.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $231.36 / $326.91	Professional		$161.97	$231.36	$326.91
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 $170.61 / $205.41 / $372.23	Professional		$170.61	$205.41	$372.23