Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.07 / $513.27 / $4,387.00	Facility		$170.07	$513.27	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $225.23 / $394.37	Professional		$139.35	$225.23	$394.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $229.37 / $369.52	Professional		$150.18	$229.37	$369.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $154.61 / $202.06	Professional		$125.35	$154.61	$202.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $272.36 / $383.82	Professional		$173.09	$272.36	$383.82
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 $196.06 / $265.13 / $442.20	Professional		$196.06	$265.13	$442.20