Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $181.74 / $4,387.00	Facility		$156.19	$181.74	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $156.19 / $181.74	Professional		$119.97	$156.19	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $195.56 / $264.83	Professional		$165.74	$195.56	$264.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $136.86 / $177.92	Professional		$116.35	$136.86	$177.92
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 $190.98 / $239.29 / $293.80	Professional		$190.98	$239.29	$293.80
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 $139.81 / $179.19 / $324.70	Professional		$139.81	$179.19	$324.70