Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.72 / $1,387.09 / $4,387.00	Facility		$125.72	$1,387.09	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $119.78 / $246.18	Professional		$64.53	$119.78	$246.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $150.47 / $314.79	Professional		$92.61	$150.47	$314.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $141.15 / $182.07	Professional		$116.42	$141.15	$182.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,491.46 / $4,611.08 / $6,719.67	Facility	50	$3,491.46	$4,611.08	$6,719.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $182.38 / $251.90	Professional		$113.40	$182.38	$251.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $159.28 / $263.39	Professional		$117.15	$159.28	$263.39