Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $3,038.00 / $4,626.00	Facility		$145.34	$3,038.00	$4,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $229.91 / $330.96	Professional		$145.34	$229.91	$330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $237.23 / $387.56	Professional		$150.65	$237.23	$387.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $154.93 / $202.06	Professional		$125.35	$154.93	$202.06
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 $190.98 / $277.62 / $370.41	Professional		$190.98	$277.62	$370.41
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 $191.13 / $226.94 / $419.76	Professional		$191.13	$226.94	$419.76