Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Facility		$163.77	$163.77	$163.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $347.19	Professional		$163.77	$175.28	$347.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $212.03 / $272.23 / $379.55	Facility		$212.03	$272.23	$379.55
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Professional		$127.26	$127.26	$127.26