Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.22 / $2,922.00 / $4,387.00	Facility		$166.22	$2,922.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $184.79 / $293.02	Professional		$116.33	$184.79	$293.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $209.92 / $368.02	Professional		$143.74	$209.92	$368.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $158.75 / $194.07	Professional		$120.13	$158.75	$194.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.62 / $829.39 / $1,199.47	Facility		$656.62	$829.39	$1,199.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $249.01 / $335.25	Professional		$218.88	$249.01	$335.25
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $172.55 / $290.87	Professional		$117.80	$172.55	$290.87