Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $436.08 / $3,809.00	Facility		$91.21	$436.08	$3,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $143.96 / $763.24 / $1,523.03	Facility	50	$143.96	$763.24	$1,523.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $122.22 / $405.00	Professional		$56.52	$122.22	$405.00
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $175.20 / $175.20 / $175.20	Professional	22	$175.20	$175.20	$175.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.26 / $242.29 / $648.00	Professional	50	$123.26	$242.29	$648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $109.26 / $172.27	Professional		$70.30	$109.26	$172.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $89.98 / $110.94	Professional		$70.11	$89.98	$110.94
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 $79.13 / $144.57 / $224.28	Professional		$79.13	$144.57	$224.28
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 $81.22 / $99.16 / $160.80	Professional		$81.22	$99.16	$160.80