Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.65 / $2,164.00 / $4,387.00	Facility		$191.65	$2,164.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $281.20 / $594.55	Professional		$121.95	$281.20	$594.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $313.04 / $546.16	Professional		$161.19	$313.04	$546.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $266.43 / $337.76	Professional		$208.99	$266.43	$337.76
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 $172.13 / $304.17 / $568.71	Professional		$172.13	$304.17	$568.71
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 $257.93 / $328.45 / $532.61	Professional		$257.93	$328.45	$532.61