Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.38 / $1,276.64 / $4,312.00	Facility		$121.38	$1,276.64	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $174.20 / $450.69	Professional		$83.90	$174.20	$450.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $193.63 / $294.30	Professional		$103.28	$193.63	$294.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.48 / $198.21 / $251.07	Professional		$163.48	$198.21	$251.07
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 $152.22 / $261.58 / $528.84	Professional		$152.22	$261.58	$528.84
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $2,790.00 / $4,912.00	Facility		$658.00	$2,790.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $194.33 / $306.39	Professional		$161.28	$194.33	$306.39