Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.15 / $3,038.00 / $4,626.00	Facility		$149.15	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $238.92 / $320.02	Professional		$149.15	$238.92	$320.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $249.31 / $389.66	Professional		$163.60	$249.31	$389.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $171.23 / $222.49	Professional		$139.05	$171.23	$222.49
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 $194.85 / $276.32 / $395.79	Professional		$194.85	$276.32	$395.79
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 $199.32 / $232.52 / $434.88	Professional		$199.32	$232.52	$434.88