Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $2,164.00 / $4,312.00	Facility		$152.68	$2,164.00	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $207.77 / $451.10	Professional		$107.60	$207.77	$451.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $230.94 / $422.27	Professional		$138.47	$230.94	$422.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $157.40 / $248.09	Professional		$27.49	$157.40	$248.09
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 $174.41 / $269.51 / $396.74	Professional		$174.41	$269.51	$396.74
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 $189.66 / $253.71 / $431.65	Professional		$189.66	$253.71	$431.65