Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $2,870.00 / $4,387.00	Facility		$148.97	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $165.68 / $199.57	Professional		$125.38	$165.68	$199.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $188.05 / $313.08	Professional		$145.88	$188.05	$313.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $142.28 / $186.27	Professional		$116.42	$142.28	$186.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $466.57 / $608.26 / $886.41	Facility		$466.57	$608.26	$886.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $227.84 / $283.56	Professional		$164.39	$227.84	$283.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $184.80 / $329.04	Professional		$147.35	$184.80	$329.04