Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.44 / $5,743.00 / $9,907.00	Facility		$975.44	$5,743.00	$9,907.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,360.78 / $11,914.25 / $14,490.00	Facility	50	$1,360.78	$11,914.25	$14,490.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,550.22 / $18,142.87 / $26,046.70	Facility		$14,550.22	$18,142.87	$26,046.70
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,825.33 / $27,214.31 / $39,070.05	Facility	50	$21,825.33	$27,214.31	$39,070.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,753.00 / $23,500.00	Facility		$3,028.00	$9,753.00	$23,500.00