Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.67 / $3,038.00 / $4,387.00	Facility		$973.67	$3,038.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $730.25 / $730.25 / $730.25	Facility	54	$730.25	$730.25	$730.25
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
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