Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $2,870.00 / $4,387.00	Facility		$140.85	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $140.85 / $282.45	Professional		$130.72	$140.85	$282.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $199.56 / $281.07	Professional		$123.57	$199.56	$281.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $129.38 / $164.96	Professional		$103.98	$129.38	$164.96
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 $183.11 / $229.43 / $318.51	Professional		$183.11	$229.43	$318.51
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 $129.94 / $162.36 / $237.51	Professional		$129.94	$162.36	$237.51