Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $178.37 / $178.37	Facility		$178.37	$178.37	$178.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $150.94 / $193.83	Professional		$124.99	$150.94	$193.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $200.82 / $296.11	Professional		$150.30	$200.82	$296.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $126.02 / $152.66	Professional		$96.43	$126.02	$152.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $595.13 / $867.27	Facility		$437.82	$595.13	$867.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $203.98 / $364.63	Professional		$156.41	$203.98	$364.63
United Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $164.41 / $237.99	Professional		$124.31	$164.41	$237.99