Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $768.76 / $4,291.00	Facility		$169.64	$768.76	$4,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $175.64 / $675.00	Professional		$112.10	$175.64	$675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $195.07 / $328.87	Professional		$128.62	$195.07	$328.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $151.64 / $187.67	Professional		$117.80	$151.64	$187.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $310.51 / $437.65	Professional		$192.62	$310.51	$437.65
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 $144.32 / $180.40 / $288.51	Professional		$144.32	$180.40	$288.51