Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.30 / $2,910.00 / $4,387.00	Facility		$172.30	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $181.81 / $360.46	Professional		$126.63	$181.81	$360.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $233.10 / $363.73	Professional		$167.58	$233.10	$363.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $155.39 / $201.45	Professional		$124.55	$155.39	$201.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,814.80 / $3,509.81 / $5,038.84	Facility		$2,814.80	$3,509.81	$5,038.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $232.98 / $286.72	Professional		$174.91	$232.98	$286.72
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 $177.21 / $217.13 / $386.64	Professional		$177.21	$217.13	$386.64