Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.32 / $3,038.00 / $5,755.11	Facility		$173.32	$3,038.00	$5,755.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $216.05 / $280.47	Professional		$160.50	$216.05	$280.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $236.36 / $368.56	Professional		$184.61	$236.36	$368.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.98 / $191.85 / $249.41	Professional		$161.98	$191.85	$249.41
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 $215.16 / $299.93 / $361.40	Professional		$215.16	$299.93	$361.40
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 $193.55 / $221.95 / $442.80	Professional		$193.55	$221.95	$442.80