Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $2,870.00 / $4,387.00	Facility		$78.89	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $98.40 / $175.63	Professional		$55.92	$98.40	$175.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $102.24 / $179.03	Professional		$77.00	$102.24	$179.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $85.61 / $110.94	Professional		$69.52	$85.61	$110.94
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 $85.58 / $126.63 / $158.08	Professional		$85.58	$126.63	$158.08
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 $81.90 / $102.51 / $187.19	Professional		$81.90	$102.51	$187.19