Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.51 / $2,910.00 / $4,387.00	Facility		$85.51	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $97.83 / $123.25	Professional		$71.67	$97.83	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $110.08 / $170.25	Professional		$83.60	$110.08	$170.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $85.61 / $111.24	Professional		$69.52	$85.61	$111.24
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 $94.77 / $136.21 / $169.70	Professional		$94.77	$136.21	$169.70
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 $88.40 / $102.00 / $198.73	Professional		$88.40	$102.00	$198.73