Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $2,910.00 / $4,387.00	Facility		$168.13	$2,910.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $160.10 / $591.97	Professional		$114.57	$160.10	$591.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $188.18 / $299.41	Professional		$121.16	$188.18	$299.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.95 / $169.23 / $222.37	Professional		$139.95	$169.23	$222.37
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 $193.18 / $287.31 / $414.40	Professional		$193.18	$287.31	$414.40
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 $132.30 / $163.18 / $264.13	Professional		$132.30	$163.18	$264.13