Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.65 / $2,744.00 / $4,626.00	Facility		$220.65	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $291.83 / $903.68	Professional		$180.40	$291.83	$903.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $298.45 / $520.96	Professional		$199.94	$298.45	$520.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $213.81 / $289.21	Professional		$28.59	$213.81	$289.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $387.12 / $544.03	Professional		$267.86	$387.12	$544.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $362.03 / $582.78	Professional		$252.00	$362.03	$582.78