Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.47 / $2,767.00 / $4,387.00	Facility		$99.47	$2,767.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $136.47 / $343.25	Professional		$60.25	$136.47	$343.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $137.40 / $249.46	Professional		$76.34	$137.40	$249.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $118.80 / $148.82	Professional		$95.22	$118.80	$148.82
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 Facility Modifier 50 Low / Median / High Price $2,042.72 / $2,592.33 / $3,777.77	Facility	50	$2,042.72	$2,592.33	$3,777.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $214.90 / $340.04	Professional		$105.17	$214.90	$340.04
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 $116.16 / $144.10 / $225.62	Professional		$116.16	$144.10	$225.62