Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $2,870.00 / $4,387.00	Facility		$173.20	$2,870.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $314.56 / $718.78	Professional		$173.20	$314.56	$718.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $294.07 / $564.58	Professional		$155.36	$294.07	$564.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $215.83 / $294.92	Professional		$25.65	$215.83	$294.92
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 $230.18 / $431.24 / $594.23	Professional		$230.18	$431.24	$594.23
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 $274.68 / $336.60 / $542.29	Professional		$274.68	$336.60	$542.29