Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $3,038.00 / $4,387.00	Facility		$117.32	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $117.32 / $182.48	Professional		$69.80	$117.32	$182.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $92.87 / $122.38	Professional		$70.28	$92.87	$122.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $57.10 / $75.03	Professional		$46.74	$57.10	$75.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $149.82 / $181.33	Professional		$92.99	$149.82	$181.33
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 $53.79 / $73.48 / $120.95	Professional		$53.79	$73.48	$120.95