Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $102.03 / $102.03	Facility		$102.03	$102.03	$102.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $159.19 / $998.60	Professional		$102.03	$159.19	$998.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $211.02	Professional		$144.50	$197.94	$211.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $261.70 / $340.22	Professional		$162.26	$261.70	$340.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.92 / $350.10 / $350.10	Facility		$313.92	$350.10	$350.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $250.95 / $376.43	Professional		$199.36	$250.95	$376.43
United Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $156.62 / $190.07	Professional		$121.42	$156.62	$190.07