Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.77 / $4,387.00 / $8,133.00	Facility		$272.77	$4,387.00	$8,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $272.77 / $514.25	Professional		$272.77	$272.77	$514.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.83 / $325.29 / $369.29	Professional		$246.83	$325.29	$369.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $139.80 / $176.31	Professional		$119.52	$139.80	$176.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,633.73 / $12,977.17 / $18,911.45	Facility		$9,633.73	$12,977.17	$18,911.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $386.75 / $475.20	Professional		$255.00	$386.75	$475.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $239.02 / $441.46	Professional		$196.35	$239.02	$441.46