Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $1,993.39 / $3,825.00	Facility		$206.87	$1,993.39	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $121.19 / $280.60	Professional		$77.56	$121.19	$280.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $186.70 / $366.32	Professional		$99.45	$186.70	$366.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $147.62 / $188.19	Professional		$115.96	$147.62	$188.19
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 $112.06 / $207.87 / $381.88	Professional		$112.06	$207.87	$381.88
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 $150.97 / $199.67 / $321.43	Professional		$150.97	$199.67	$321.43