Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $3,294.00 / $7,568.00	Facility		$146.78	$3,294.00	$7,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $161.09 / $224.14	Professional		$146.78	$161.09	$224.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $187.75 / $294.91	Professional		$141.51	$187.75	$294.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $114.82 / $159.30	Professional		$77.58	$114.82	$159.30
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 $177.15 / $208.87 / $246.77	Professional		$177.15	$208.87	$246.77
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 $120.06 / $149.04 / $267.27	Professional		$120.06	$149.04	$267.27