Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.68 / $3,038.00 / $4,626.00	Facility		$156.68	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $192.36 / $302.08	Professional		$135.81	$192.36	$302.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $251.72 / $397.41	Professional		$163.84	$251.72	$397.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $155.52 / $202.06	Professional		$125.35	$155.52	$202.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $765.38 / $1,043.22 / $1,520.27	Facility		$765.38	$1,043.22	$1,520.27
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.07 / $1,564.83 / $2,280.41	Facility	50	$1,148.07	$1,564.83	$2,280.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $284.16 / $391.51	Professional		$200.17	$284.16	$391.51
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 $198.66 / $248.80 / $433.44	Professional		$198.66	$248.80	$433.44