Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.40 / $3,038.00 / $4,387.00	Facility		$213.40	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $213.40 / $409.22	Professional		$193.50	$213.40	$409.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $280.35 / $353.79	Professional		$153.36	$280.35	$353.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $171.31 / $225.09	Professional		$140.68	$171.31	$225.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,469.55 / $7,330.88 / $10,683.19	Facility		$5,469.55	$7,330.88	$10,683.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $275.60 / $441.77	Professional		$248.04	$275.60	$441.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $196.35 / $297.50	Professional		$162.52	$196.35	$297.50