Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.40 / $3,064.00 / $4,707.00	Facility		$217.40	$3,064.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $217.40 / $316.51	Professional		$168.64	$217.40	$316.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $251.67 / $339.96	Professional		$211.15	$251.67	$339.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $129.38 / $164.99	Professional		$99.31	$129.38	$164.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,952.73 / $5,387.63 / $7,851.32	Facility		$3,952.73	$5,387.63	$7,851.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $291.27 / $365.72	Professional		$238.46	$291.27	$365.72
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 $164.18 / $195.61 / $367.21	Professional		$164.18	$195.61	$367.21