Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $99.24 / $433.90	Facility		$99.24	$99.24	$433.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $99.24 / $425.63	Professional		$57.60	$99.24	$425.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $310.27 / $982.29	Facility		$65.64	$310.27	$982.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $105.50 / $165.45	Professional		$79.68	$105.50	$165.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $43.76 / $67.28	Professional		$24.63	$43.76	$67.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $378.22 / $480.81 / $767.88	Facility		$378.22	$480.81	$767.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $127.31 / $153.87	Professional		$103.11	$127.31	$153.87
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $86.46 / $143.27	Professional		$74.70	$86.46	$143.27