Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.05 / $2,910.00 / $4,387.00	Facility		$231.05	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $335.79 / $881.56	Professional		$156.54	$335.79	$881.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $328.23 / $601.97	Professional		$192.09	$328.23	$601.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $217.53 / $311.01	Professional		$27.68	$217.53	$311.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,361.81 / $1,728.22 / $2,518.51	Facility		$1,361.81	$1,728.22	$2,518.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $509.67 / $787.06	Professional		$264.57	$509.67	$787.06
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 $278.98 / $364.32 / $556.60	Professional		$278.98	$364.32	$556.60