Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.02 / $2,871.00 / $4,387.00	Facility		$135.02	$2,871.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $135.02 / $202.46	Professional		$95.82	$135.02	$202.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $173.29 / $249.70	Professional		$126.16	$173.29	$249.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $141.81 / $183.27	Professional		$114.96	$141.81	$183.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,089.01 / $2,638.66 / $3,828.61	Facility		$2,089.01	$2,638.66	$3,828.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $178.67 / $219.99	Professional		$136.26	$178.67	$219.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $155.19 / $308.64	Professional		$137.28	$155.19	$308.64