Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.95 / $2,870.00 / $4,387.00	Facility		$127.95	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $179.92 / $279.11	Professional		$127.95	$179.92	$279.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $204.88 / $328.93	Professional		$122.48	$204.88	$328.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $143.75 / $190.84	Professional		$104.45	$143.75	$190.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,435.37 / $4,418.50 / $6,439.02	Facility		$3,435.37	$4,418.50	$6,439.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.69 / $257.14 / $358.33	Professional		$181.69	$257.14	$358.33
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 $156.52 / $193.95 / $279.99	Professional		$156.52	$193.95	$279.99