Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $3,038.00 / $4,626.00	Facility		$160.72	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $173.34 / $318.32	Professional		$160.72	$173.34	$318.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $204.24 / $300.72	Professional		$154.22	$204.24	$300.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $128.48 / $166.06	Professional		$100.12	$128.48	$166.06
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 $197.54 / $233.68 / $269.41	Professional		$197.54	$233.68	$269.41
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 $136.00 / $170.72 / $338.33	Professional		$136.00	$170.72	$338.33