Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.32 / $2,833.00 / $4,387.00	Facility		$124.32	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $195.16 / $462.00	Professional		$88.93	$195.16	$462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $228.90 / $385.18	Professional		$115.24	$228.90	$385.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $149.82 / $188.19	Professional		$115.96	$149.82	$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 $130.06 / $200.74 / $394.64	Professional		$130.06	$200.74	$394.64
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 $168.33 / $238.92 / $402.89	Professional		$168.33	$238.92	$402.89