Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.24 / $3,084.00 / $4,707.00	Facility		$202.24	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.24 / $202.24 / $435.58	Professional		$202.24	$202.24	$435.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.25 / $242.03 / $393.07	Professional		$210.25	$242.03	$393.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $113.41 / $152.66	Professional		$95.26	$113.41	$152.66
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 $215.84 / $312.91 / $373.36	Professional		$215.84	$312.91	$373.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $9,026.00	Facility		$1,689.00	$2,312.00	$9,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $204.80 / $362.88	Professional		$166.32	$204.80	$362.88