Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $4,480.20 / $5,873.85	Facility		$855.00	$4,480.20	$5,873.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $855.00 / $855.00	Professional		$855.00	$855.00	$855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $835.16 / $2,617.58	Facility		$812.01	$835.16	$2,617.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,140.00 / $1,140.00	Professional		$1,140.00	$1,140.00	$1,140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,092.50 / $3,847.50	Facility		$950.00	$1,092.50	$3,847.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $934.24 / $990.13 / $1,185.67	Professional		$934.24	$990.13	$1,185.67
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $570.00	Professional		$399.00	$399.00	$570.00