Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $405.98 / $4,387.00	Facility		$80.75	$405.98	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $400.98 / $400.98 / $1,969.49	Facility	50	$400.98	$400.98	$1,969.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $94.05 / $349.00	Professional		$55.36	$94.05	$349.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.04 / $268.13 / $556.50	Professional	50	$109.04	$268.13	$556.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.89 / $152.59	Professional		$62.56	$89.89	$152.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $61.28 / $75.49	Professional		$48.51	$61.28	$75.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.21 / $561.58 / $818.38	Facility		$432.21	$561.58	$818.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $648.32 / $842.37 / $1,227.57	Facility	50	$648.32	$842.37	$1,227.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $119.91 / $183.44	Professional		$75.56	$119.91	$183.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $82.55 / $132.75	Professional		$67.27	$82.55	$132.75