Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.92 / $4,387.00 / $9,078.00	Facility		$1,758.92	$4,387.00	$9,078.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,319.19 / $1,319.19 / $1,319.19	Facility	54	$1,319.19	$1,319.19	$1,319.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,147.96 / $12,655.20 / $18,168.36	Facility		$10,147.96	$12,655.20	$18,168.36
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,221.96 / $18,982.80 / $27,252.54	Facility	50	$15,221.96	$18,982.80	$27,252.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $7,693.00 / $13,847.00	Facility		$2,912.00	$7,693.00	$13,847.00