Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $133.12 / $133.12	Facility		$133.12	$133.12	$133.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $177.79 / $213.47	Professional		$115.34	$177.79	$213.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.63 / $316.12 / $388.98	Professional		$222.63	$316.12	$388.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $80.00	Professional		$30.00	$45.00	$80.00
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 $163.69 / $204.70 / $245.65	Professional		$163.69	$204.70	$245.65
United Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $230.78 / $347.39	Professional		$121.73	$230.78	$347.39