Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $131.66 / $4,387.00	Facility		$124.75	$131.66	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $131.66 / $283.64	Professional		$124.75	$131.66	$283.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $183.47 / $235.79	Professional		$99.77	$183.47	$235.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $91.08 / $111.24	Professional		$70.11	$91.08	$111.24
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 Facility Modifier 50 Low / Median / High Price $649.13 / $828.51 / $1,207.38	Facility	50	$649.13	$828.51	$1,207.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $194.85 / $265.73	Professional		$168.98	$194.85	$265.73
United Facility/Professional Facility Modifier Low / Median / High Price $658.00 / $4,445.00 / $4,912.00	Facility		$658.00	$4,445.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $135.44 / $211.12	Professional		$107.32	$135.44	$211.12