Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.72 / $3,294.00 / $9,870.00	Facility		$449.72	$3,294.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $2,736.32 / $3,579.42	Professional		$449.72	$2,736.32	$3,579.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.47 / $1,610.17 / $2,572.44	Professional		$391.47	$1,610.17	$2,572.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.88 / $1,126.67 / $1,533.12	Professional		$919.88	$1,126.67	$1,533.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,735.70 / $6,043.65 / $8,807.33	Facility		$4,735.70	$6,043.65	$8,807.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $395.99 / $759.37 / $3,916.22	Professional		$395.99	$759.37	$3,916.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $6,097.00 / $8,267.00	Facility		$1,202.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.56 / $1,855.46 / $2,856.50	Professional		$1,528.56	$1,855.46	$2,856.50