Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.13 / $3,977.00 / $5,743.00	Facility		$299.13	$3,977.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $299.13 / $474.35	Professional		$203.52	$299.13	$474.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.01 / $298.01 / $452.94	Professional		$253.01	$298.01	$452.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $191.85 / $249.41	Professional		$164.45	$191.85	$249.41
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 $270.67 / $410.26 / $482.66	Professional		$270.67	$410.26	$482.66
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $218.88 / $437.75	Professional		$176.32	$218.88	$437.75