Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $93.07	Facility		$55.88	$55.88	$93.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $87.83 / $156.96	Professional		$50.36	$87.83	$156.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $96.17 / $164.36	Professional		$59.62	$96.17	$164.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $85.61 / $110.30	Professional		$68.55	$85.61	$110.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.55 / $375.57 / $547.32	Facility		$275.55	$375.57	$547.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $106.41 / $154.50	Professional		$72.04	$106.41	$154.50
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 $80.92 / $93.60 / $178.56	Professional		$80.92	$93.60	$178.56