Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.88 / $2,833.00 / $4,387.00	Facility		$194.88	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $202.69 / $445.52	Professional		$142.77	$202.69	$445.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $254.78 / $397.49	Professional		$172.53	$254.78	$397.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $169.36 / $235.51	Professional		$125.48	$169.36	$235.51
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 $216.82 / $283.72 / $379.29	Professional		$216.82	$283.72	$379.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $280.60 / $454.08	Professional		$189.72	$280.60	$454.08