Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $2,833.00 / $4,387.00	Facility		$110.04	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $182.52 / $430.32	Professional		$81.27	$182.52	$430.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $224.00 / $351.23	Professional		$104.27	$224.00	$351.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $179.97 / $223.46	Professional		$140.22	$179.97	$223.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $183.29 / $342.27	Professional		$117.97	$183.29	$342.27
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 $171.12 / $230.91 / $364.31	Professional		$171.12	$230.91	$364.31