Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $147.61 / $574.22	Facility		$147.61	$147.61	$574.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $147.61 / $649.82	Professional		$99.17	$147.61	$649.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $829.35 / $3,210.61	Facility		$86.01	$829.35	$3,210.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.41 / $167.63 / $229.65	Professional		$120.41	$167.63	$229.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $67.28 / $99.28	Professional		$32.57	$67.28	$99.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,183.54 / $1,541.02 / $2,381.69	Facility		$1,183.54	$1,541.02	$2,381.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $187.36 / $242.96	Professional		$160.12	$187.36	$242.96
United Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $132.75 / $219.11	Professional		$108.46	$132.75	$219.11