Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $2,870.00 / $4,312.00	Facility		$115.97	$2,870.00	$4,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $115.97 / $176.84	Professional		$86.98	$115.97	$176.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $141.05 / $211.72	Professional		$117.92	$141.05	$211.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $70.11 / $99.85	Professional		$49.99	$70.11	$99.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $165.87 / $189.90	Professional		$125.33	$165.87	$189.90
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 $91.41 / $125.59 / $199.44	Professional		$91.41	$125.59	$199.44