Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $1,627.97 / $4,387.00	Facility		$162.87	$1,627.97	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $228.37 / $545.63	Professional		$129.87	$228.37	$545.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $265.04 / $489.50	Professional		$147.25	$265.04	$489.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $190.44 / $260.51	Professional		$25.65	$190.44	$260.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $1,948.57 / $2,797.46	Facility		$1,408.37	$1,948.57	$2,797.46
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,112.56 / $2,879.45 / $4,196.18	Facility	50	$2,112.56	$2,879.45	$4,196.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $364.22 / $527.05	Professional		$218.40	$364.22	$527.05
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 $237.30 / $284.76 / $403.41	Professional		$237.30	$284.76	$403.41