Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.96 / $1,117.92 / $4,387.00	Facility		$909.96	$1,117.92	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.05 / $694.58 / $2,703.14	Professional		$457.05	$694.58	$2,703.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.21 / $839.85 / $1,261.84	Professional		$610.21	$839.85	$1,261.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $512.10 / $678.17	Professional		$56.50	$512.10	$678.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $463.13 / $674.92	Facility		$349.99	$463.13	$674.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $629.23 / $987.31 / $1,906.64	Professional		$629.23	$987.31	$1,906.64
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 $611.76 / $762.66 / $1,193.03	Professional		$611.76	$762.66	$1,193.03