Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.69 / $2,744.00 / $4,626.00	Facility		$256.69	$2,744.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $373.10 / $799.75	Professional		$256.69	$373.10	$799.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.44 / $388.91 / $652.76	Professional		$220.44	$388.91	$652.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $254.62 / $349.34	Professional		$25.65	$254.62	$349.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,310.39 / $4,430.70 / $6,456.79	Facility		$3,310.39	$4,430.70	$6,456.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $485.11 / $705.41	Professional		$326.20	$485.11	$705.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.50 / $358.28 / $532.96	Professional		$313.50	$358.28	$532.96