Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.44 / $3,977.00 / $7,568.00	Facility		$399.44	$3,977.00	$7,568.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,407.12 / $5,407.12 / $5,407.12	Facility	50	$5,407.12	$5,407.12	$5,407.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,814.80 / $3,509.81 / $5,038.84	Facility		$2,814.80	$3,509.81	$5,038.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,222.20 / $5,264.72 / $7,558.26	Facility	50	$4,222.20	$5,264.72	$7,558.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00