Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $2,870.00 / $4,387.00	Facility		$139.75	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $278.68 / $344.40	Professional		$139.75	$278.68	$344.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $231.81 / $502.96	Professional		$135.21	$231.81	$502.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $200.77 / $281.46	Professional		$26.80	$200.77	$281.46
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 $181.61 / $292.75 / $541.59	Professional		$181.61	$292.75	$541.59
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 $229.50 / $292.27 / $464.79	Professional		$229.50	$292.27	$464.79