Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $2,922.00 / $5,743.00	Facility		$45.89	$2,922.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $163.38	Professional		$30.00	$45.00	$163.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $230.50 / $362.79	Professional		$186.46	$230.50	$362.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00