Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $2,910.00 / $4,387.00	Facility		$60.44	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $101.55 / $151.59	Professional		$55.56	$101.55	$151.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $130.09 / $196.46	Professional		$64.81	$130.09	$196.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $85.61 / $110.30	Professional		$68.55	$85.61	$110.30
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 $69.14 / $139.68 / $217.89	Professional		$69.14	$139.68	$217.89
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 $106.92 / $131.13 / $233.28	Professional		$106.92	$131.13	$233.28