Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Facility		$112.50	$112.50	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $269.70 / $390.62	Professional		$112.50	$269.70	$390.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $403.64 / $578.73	Professional		$311.68	$403.64	$578.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $87.82 / $187.45	Professional		$30.00	$87.82	$187.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $807.52 / $1,019.99 / $1,480.97	Facility		$807.52	$1,019.99	$1,480.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $401.62 / $608.03	Professional		$172.16	$401.62	$608.03
United Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $322.64 / $480.60	Professional		$248.40	$322.64	$480.60