Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.47 / $2,833.00 / $4,387.00	Facility		$402.47	$2,833.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $301.85 / $301.85 / $334.73	Facility	54	$301.85	$301.85	$334.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $344.75 / $688.94	Professional		$277.37	$344.75	$688.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.66 / $422.93 / $673.90	Professional		$304.66	$422.93	$673.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $201.06 / $336.40	Professional		$29.46	$201.06	$336.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $447.13 / $651.60	Facility		$340.97	$447.13	$651.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.44 / $532.79 / $763.77	Professional		$416.44	$532.79	$763.77
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 $287.10 / $350.18 / $564.63	Professional		$287.10	$350.18	$564.63