Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $2,833.00 / $4,387.00	Facility		$97.36	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $111.25 / $192.12	Professional		$78.20	$111.25	$192.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $139.91 / $203.78	Professional		$103.53	$139.91	$203.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $113.33 / $144.65	Professional		$92.81	$113.33	$144.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $155.29 / $214.16	Professional		$109.27	$155.29	$214.16
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 $104.94 / $114.76 / $228.95	Professional		$104.94	$114.76	$228.95