Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $2,833.00 / $4,387.00	Facility		$100.43	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $168.69 / $207.22	Professional		$100.43	$168.69	$207.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $158.72 / $303.58	Professional		$88.96	$158.72	$303.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $143.96 / $183.67	Professional		$114.79	$143.96	$183.67
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 Facility Modifier 50 Low / Median / High Price $4,965.59 / $6,646.05 / $9,685.19	Facility	50	$4,965.59	$6,646.05	$9,685.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $212.03 / $325.44	Professional		$131.80	$212.03	$325.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $173.48 / $258.06	Professional		$144.72	$173.48	$258.06