Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $4,387.00 / $90,671.00	Facility		$104.65	$4,387.00	$90,671.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $104.65 / $106.37	Professional		$104.65	$104.65	$106.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $117.35 / $133.13	Professional		$106.43	$117.35	$133.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $43.48 / $134.41	Professional		$12.53	$43.48	$134.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $2,290.58 / $3,288.46	Facility		$1,837.00	$2,290.58	$3,288.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $183.60 / $233.65	Professional		$144.47	$183.60	$233.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $4,455.00 / $33,399.00	Facility		$1,689.00	$4,455.00	$33,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $84.07 / $146.25	Professional		$67.56	$84.07	$146.25