Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.81 / $2,922.00 / $4,387.00	Facility		$289.81	$2,922.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $289.81 / $785.16	Professional		$250.46	$289.81	$785.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.32 / $353.76 / $504.32	Professional		$257.32	$353.76	$504.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $225.71 / $291.89	Professional		$180.42	$225.71	$291.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,041.47 / $5,323.73 / $7,758.20	Facility		$4,041.47	$5,323.73	$7,758.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.30 / $397.44 / $501.62	Professional		$341.30	$397.44	$501.62
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 $219.98 / $290.70 / $550.80	Professional		$219.98	$290.70	$550.80