Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.62 / $3,038.00 / $4,387.00	Facility		$633.62	$3,038.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.22 / $475.22 / $475.22	Facility	54	$475.22	$475.22	$475.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $633.62 / $2,444.67	Professional		$434.01	$633.62	$2,444.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.15 / $643.67 / $1,031.38	Professional		$463.15	$643.67	$1,031.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $291.15 / $463.88	Professional		$61.47	$291.15	$463.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,304.17 / $3,047.35 / $4,440.85	Facility		$2,304.17	$3,047.35	$4,440.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $626.17 / $752.17 / $1,076.83	Professional		$626.17	$752.17	$1,076.83
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 $401.40 / $488.03 / $793.98	Professional		$401.40	$488.03	$793.98