Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.77 / $3,038.00 / $4,626.00	Facility		$184.77	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $250.09 / $278.80	Professional		$184.77	$250.09	$278.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $240.85 / $369.04	Professional		$178.45	$240.85	$369.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $143.16 / $186.27	Professional		$116.42	$143.16	$186.27
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 $187.26 / $243.37 / $290.87	Professional		$187.26	$243.37	$290.87
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 $183.15 / $211.20 / $399.61	Professional		$183.15	$211.20	$399.61