Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $2,870.00 / $4,387.00	Facility		$99.69	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $220.95 / $524.90	Professional		$99.69	$220.95	$524.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $187.25 / $404.69	Professional		$91.79	$187.25	$404.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $164.96 / $225.62	Professional		$25.65	$164.96	$225.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,919.63 / $2,797.46	Facility		$1,408.37	$1,919.63	$2,797.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $213.43 / $422.54	Professional		$136.50	$213.43	$422.54
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $233.03 / $340.68	Professional		$194.88	$233.03	$340.68