Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $2,833.00 / $4,387.00	Facility		$100.16	$2,833.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $100.16 / $210.84	Professional		$86.76	$100.16	$210.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $142.83 / $176.44	Professional		$79.03	$142.83	$176.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $86.05 / $111.24	Professional		$69.52	$86.05	$111.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $552.34 / $804.92	Facility		$432.75	$552.34	$804.92
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $649.13 / $828.51 / $1,207.38	Facility	50	$649.13	$828.51	$1,207.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $151.82 / $209.47	Professional		$132.15	$151.82	$209.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $105.37 / $156.25	Professional		$84.32	$105.37	$156.25