Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.73 / $2,833.00 / $4,387.00	Facility		$311.73	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $311.73 / $751.53	Professional		$133.57	$311.73	$751.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $249.42 / $382.64	Professional		$151.94	$249.42	$382.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $179.97 / $222.49	Professional		$139.05	$179.97	$222.49
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 $179.86 / $271.10 / $362.22	Professional		$179.86	$271.10	$362.22
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 $178.25 / $230.58 / $379.51	Professional		$178.25	$230.58	$379.51