Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $164.30 / $164.30	Facility		$164.30	$164.30	$164.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $232.28 / $1,962.46	Professional		$164.30	$232.28	$1,962.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $423.86	Professional		$263.86	$361.45	$423.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.89 / $372.41 / $484.13	Professional		$230.89	$372.41	$484.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.69 / $498.18 / $498.18	Facility		$446.69	$498.18	$498.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $357.09 / $535.64	Professional		$283.68	$357.09	$535.64
United Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $254.50 / $325.86	Professional		$195.54	$254.50	$325.86