Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $98.28 / $98.28	Facility		$98.28	$98.28	$98.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $98.28 / $205.47	Professional		$74.62	$98.28	$205.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $127.23 / $169.79	Professional		$110.94	$127.23	$169.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $108.49 / $138.37	Professional		$92.64	$108.49	$138.37
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 $118.36 / $159.04 / $182.09	Professional		$118.36	$159.04	$182.09
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 $85.00 / $127.68 / $197.36	Professional		$85.00	$127.68	$197.36