Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.70 / $2,833.00 / $4,387.00	Facility		$209.70	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $209.70 / $522.85	Professional		$96.87	$209.70	$522.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $177.91 / $309.20	Professional		$112.78	$177.91	$309.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $151.15 / $186.27	Professional		$116.42	$151.15	$186.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $242.20 / $352.96	Facility		$186.54	$242.20	$352.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $195.82 / $279.36	Professional		$121.84	$195.82	$279.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $164.77 / $270.60	Professional		$127.10	$164.77	$270.60