Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $2,910.00 / $4,387.00	Facility		$221.00	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $221.00 / $323.06	Professional		$172.75	$221.00	$323.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.83 / $272.70 / $398.08	Professional		$213.83	$272.70	$398.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $169.75 / $224.35	Professional		$130.13	$169.75	$224.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $5,927.75 / $8,638.43	Facility		$4,349.00	$5,927.75	$8,638.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $325.05 / $373.07	Professional		$272.20	$325.05	$373.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $229.89 / $458.64	Professional		$192.78	$229.89	$458.64