Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $2,910.00 / $4,418.54	Facility		$145.44	$2,910.00	$4,418.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $145.44 / $317.98	Professional		$95.67	$145.44	$317.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $179.17 / $303.27	Professional		$130.04	$179.17	$303.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $101.09 / $134.78	Professional		$75.93	$101.09	$134.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $205.19 / $285.52	Professional		$156.01	$205.19	$285.52
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 $128.81 / $173.60 / $299.56	Professional		$128.81	$173.60	$299.56