Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.32 / $1,305.33 / $4,312.00	Facility		$689.32	$1,305.33	$4,312.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $516.99 / $555.46 / $827.04	Facility	54	$516.99	$555.46	$827.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $549.34 / $1,156.67	Professional		$450.87	$549.34	$1,156.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.71 / $702.14 / $1,104.83	Professional		$497.71	$702.14	$1,104.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $320.52 / $495.77	Professional		$61.47	$320.52	$495.77
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 $657.08 / $850.40 / $1,250.15	Professional		$657.08	$850.40	$1,250.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.60 / $578.46 / $914.74	Professional		$462.60	$578.46	$914.74