Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $2,910.00 / $4,387.00	Facility		$142.16	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $165.36 / $222.45	Professional		$123.57	$165.36	$222.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $165.73 / $233.05	Professional		$124.17	$165.73	$233.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $113.33 / $150.06	Professional		$93.59	$113.33	$150.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $381.48 / $484.37 / $682.89	Facility		$381.48	$484.37	$682.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $204.80 / $261.66	Professional		$140.22	$204.80	$261.66
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 $117.15 / $149.50 / $255.60	Professional		$117.15	$149.50	$255.60