Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.40 / $3,084.00 / $4,707.00	Facility		$845.40	$3,084.00	$4,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.40 / $1,149.29 / $6,577.63	Professional		$845.40	$1,149.29	$6,577.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.46 / $1,562.30 / $2,848.78	Professional		$720.46	$1,562.30	$2,848.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $738.25 / $1,192.80	Professional		$123.43	$738.25	$1,192.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,684.92 / $6,137.22 / $8,943.69	Facility		$4,684.92	$6,137.22	$8,943.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,648.35 / $1,966.48 / $2,987.25	Professional		$1,648.35	$1,966.48	$2,987.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.34 / $1,271.91 / $2,102.36	Professional		$593.34	$1,271.91	$2,102.36