Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $3,038.00 / $4,387.00	Facility		$112.13	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $112.13 / $174.06	Professional		$99.93	$112.13	$174.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $109.62 / $143.53	Professional		$94.73	$109.62	$143.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $57.64 / $71.77	Professional		$47.18	$57.64	$71.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,962.05 / $3,861.91 / $5,627.91	Facility		$2,962.05	$3,861.91	$5,627.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $154.71 / $177.13	Professional		$100.52	$154.71	$177.13
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 $73.92 / $91.61 / $161.28	Professional		$73.92	$91.61	$161.28