Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.91 / $2,833.00 / $4,387.00	Facility		$103.91	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $167.65 / $357.98	Professional		$71.73	$167.65	$357.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $202.09 / $330.82	Professional		$90.54	$202.09	$330.82
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 $1,715.47 / $2,237.48 / $3,260.64	Facility		$1,715.47	$2,237.48	$3,260.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $171.77 / $348.61	Professional		$105.40	$171.77	$348.61
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 $148.16 / $208.34 / $306.41	Professional		$148.16	$208.34	$306.41