Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.78 / $1,304.29 / $4,291.00	Facility		$134.78	$1,304.29	$4,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $176.35 / $331.53	Professional		$121.70	$176.35	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $209.37 / $343.10	Professional		$141.49	$209.37	$343.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $139.05 / $199.70	Professional		$100.12	$139.05	$199.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $244.56 / $333.63	Professional		$183.73	$244.56	$333.63
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 $176.22 / $208.55 / $384.48	Professional		$176.22	$208.55	$384.48