Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.50 / $3,038.00 / $4,387.00	Facility		$400.50	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $400.50 / $620.98	Professional		$400.50	$400.50	$620.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $493.94 / $667.99	Professional		$384.30	$493.94	$667.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $254.41 / $346.23	Professional		$54.98	$254.41	$346.23
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 $471.70 / $531.66 / $650.15	Professional		$471.70	$531.66	$650.15
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 $306.68 / $396.87 / $718.22	Professional		$306.68	$396.87	$718.22