Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $1,553.96 / $3,278.00	Facility		$133.43	$1,553.96	$3,278.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.15 / $40.15 / $66.72	Facility	52	$40.15	$40.15	$66.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $111.03 / $215.92	Professional		$58.82	$111.03	$215.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $155.83 / $247.69	Professional		$98.74	$155.83	$247.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $85.61 / $111.24	Professional		$69.23	$85.61	$111.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,029.45 / $1,334.02 / $1,944.04	Facility		$1,029.45	$1,334.02	$1,944.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $156.41 / $204.21	Professional		$100.09	$156.41	$204.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $132.44 / $264.24	Professional		$106.43	$132.44	$264.24