Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.04 / $2,910.00 / $4,387.00	Facility		$570.04	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.04 / $602.92 / $2,888.30	Professional		$570.04	$602.92	$2,888.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.30 / $759.43 / $1,541.56	Professional		$510.30	$759.43	$1,541.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.97 / $497.61 / $663.97	Professional		$422.97	$497.61	$663.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,904.80 / $3,669.11 / $5,334.93	Facility		$2,904.80	$3,669.11	$5,334.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $915.86 / $1,077.48 / $1,167.71	Professional		$915.86	$1,077.48	$1,167.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.01 / $670.00 / $1,259.20	Professional		$428.01	$670.00	$1,259.20