Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $622.16 / $4,387.00	Facility		$68.75	$622.16	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $100.70 / $219.09	Professional		$44.26	$100.70	$219.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $128.51 / $234.07	Professional		$63.25	$128.51	$234.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $118.80 / $148.85	Professional		$93.03	$118.80	$148.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $1,732.91 / $2,525.35	Facility		$1,312.82	$1,732.91	$2,525.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $115.85 / $226.42	Professional		$69.62	$115.85	$226.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $167.00 / $261.18	Professional		$105.60	$167.00	$261.18