Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $2,870.00 / $4,387.00	Facility		$117.61	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $220.58 / $295.97	Professional		$115.67	$220.58	$295.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $224.63 / $484.64	Professional		$108.75	$224.63	$484.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $183.24 / $253.11	Professional		$26.80	$183.24	$253.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $552.34 / $804.92	Facility		$432.75	$552.34	$804.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $251.51 / $508.25	Professional		$161.44	$251.51	$508.25
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 $222.48 / $285.12 / $443.52	Professional		$222.48	$285.12	$443.52