Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.87 / $3,294.00 / $4,707.00	Facility		$469.87	$3,294.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.87 / $469.87 / $746.39	Professional		$469.87	$469.87	$746.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.50 / $591.41 / $889.28	Professional		$523.50	$591.41	$889.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $328.69 / $447.80	Professional		$53.14	$328.69	$447.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,684.92 / $6,137.22 / $8,943.69	Facility		$4,684.92	$6,137.22	$8,943.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $626.17 / $697.06	Professional		$513.41	$626.17	$697.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.92 / $440.64 / $881.29	Professional		$403.92	$440.64	$881.29