Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $2,833.00 / $4,387.00	Facility		$148.88	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $168.80 / $521.92	Professional		$106.30	$168.80	$521.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $188.15 / $324.33	Professional		$133.02	$188.15	$324.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $142.97 / $201.45	Professional		$101.09	$142.97	$201.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $1,043.22 / $1,520.27	Facility		$765.38	$1,043.22	$1,520.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $230.63 / $322.77	Professional		$157.62	$230.63	$322.77
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 $152.40 / $228.61 / $365.77	Professional		$152.40	$228.61	$365.77