Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $3,038.00 / $4,626.00	Facility		$144.00	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $248.44 / $394.82	Professional		$139.18	$248.44	$394.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $262.97 / $495.74	Professional		$155.07	$262.97	$495.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $229.13 / $294.92	Professional		$184.32	$229.13	$294.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,475.05 / $3,218.11 / $4,689.71	Facility		$2,475.05	$3,218.11	$4,689.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $267.17 / $420.27	Professional		$173.09	$267.17	$420.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $282.92 / $549.35	Professional		$225.76	$282.92	$549.35