Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.57 / $3,038.00 / $4,387.00	Facility		$2,153.57	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,520.00 / $2,153.57 / $4,737.68	Professional		$1,520.00	$2,153.57	$4,737.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.64 / $2,284.02 / $3,368.80	Professional		$1,352.64	$2,284.02	$3,368.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $1,091.78 / $1,543.34	Professional		$108.97	$1,091.78	$1,543.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,355.47 / $4,386.24 / $6,945.78	Professional		$3,355.47	$4,386.24	$6,945.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,312.00 / $2,446.00 / $13,847.00	Facility		$2,312.00	$2,446.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.81 / $1,895.60 / $3,344.66	Professional		$1,423.81	$1,895.60	$3,344.66