Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $2,870.00 / $4,387.00	Facility		$42.67	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $122.06 / $532.00	Professional		$29.86	$122.06	$532.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $112.51 / $208.04	Professional		$37.57	$112.51	$208.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $118.80 / $148.82	Professional		$91.72	$118.80	$148.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.21 / $561.58 / $818.38	Facility		$432.21	$561.58	$818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $164.66 / $311.83	Professional		$49.82	$164.66	$311.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $136.41 / $211.81	Professional		$104.86	$136.41	$211.81