Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $3,038.00 / $4,626.00	Facility		$142.27	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $180.36 / $226.50	Professional		$142.27	$180.36	$226.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $192.14 / $269.52	Professional		$138.60	$192.14	$269.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $127.13 / $166.84	Professional		$100.12	$127.13	$166.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,086.24 / $6,609.94 / $9,632.58	Facility		$5,086.24	$6,609.94	$9,632.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.77 / $191.13 / $238.85	Professional		$145.77	$191.13	$238.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $182.17 / $333.13	Professional		$148.05	$182.17	$333.13