Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,317.19 / $12,142.10 / $15,919.10	Facility		$2,317.19	$12,142.10	$15,919.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $2,317.19 / $2,317.19	Professional		$2,317.19	$2,317.19	$2,317.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.67 / $2,263.40 / $7,094.05	Facility		$2,200.67	$2,263.40	$7,094.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,089.58 / $3,089.58 / $3,089.58	Professional		$3,089.58	$3,089.58	$3,089.58
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 $2,651.89 / $2,960.85 / $3,089.58	Facility		$2,651.89	$2,960.85	$3,089.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,666.25 / $2,962.50 / $3,848.16	Professional		$2,666.25	$2,962.50	$3,848.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,081.34 / $1,544.79	Professional		$1,081.34	$1,081.34	$1,544.79