Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.99 / $2,910.00 / $4,387.00	Facility		$191.99	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $233.13 / $281.82	Professional		$184.69	$233.13	$281.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $229.20 / $292.72	Professional		$177.32	$229.20	$292.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $168.84 / $215.33	Professional		$139.08	$168.84	$215.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,118.30 / $1,524.26 / $2,221.28	Facility		$1,118.30	$1,524.26	$2,221.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $233.24 / $280.00	Professional		$193.75	$233.24	$280.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $201.94 / $362.16	Professional		$165.99	$201.94	$362.16