Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.26 / $2,910.00 / $4,387.00	Facility		$163.26	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $163.26 / $314.77	Professional		$114.15	$163.26	$314.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $173.38 / $252.15	Professional		$142.12	$173.38	$252.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $113.80 / $156.31	Professional		$93.49	$113.80	$156.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $894.19 / $1,191.10 / $1,735.80	Facility		$894.19	$1,191.10	$1,735.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $222.61 / $343.36	Professional		$147.94	$222.61	$343.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $200.15 / $328.69	Professional		$146.19	$200.15	$328.69