Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $3,038.00 / $4,626.00	Facility		$151.82	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $236.33 / $312.33	Professional		$151.82	$236.33	$312.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $245.26 / $400.66	Professional		$163.47	$245.26	$400.66
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 $5,209.35 / $7,100.42 / $10,347.35	Facility		$5,209.35	$7,100.42	$10,347.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.60 / $284.58 / $389.60	Professional		$187.60	$284.58	$389.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $234.80 / $431.29	Professional		$197.67	$234.80	$431.29