Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.09 / $2,910.00 / $4,387.00	Facility		$144.09	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $257.92 / $650.64	Professional		$103.55	$257.92	$650.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $239.34 / $444.54	Professional		$120.28	$239.34	$444.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $238.58 / $297.65	Professional		$190.44	$238.58	$297.65
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 $177.12 / $335.68 / $569.09	Professional		$177.12	$335.68	$569.09
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 $204.16 / $254.52 / $401.93	Professional		$204.16	$254.52	$401.93