Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $157.12 / $4,387.00	Facility		$72.98	$157.12	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $145.72 / $239.59	Professional		$72.98	$145.72	$239.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $159.57 / $264.24	Professional		$78.20	$159.57	$264.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $114.56 / $147.46	Professional		$92.16	$114.56	$147.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $189.29 / $249.65	Professional		$92.83	$189.29	$249.65
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 $132.00 / $159.28 / $288.00	Professional		$132.00	$159.28	$288.00