Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.58 / $2,164.00 / $4,291.00	Facility		$568.58	$2,164.00	$4,291.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $453.12 / $497.53 / $1,840.35	Facility	54	$453.12	$497.53	$1,840.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.94 / $604.16 / $2,285.96	Professional		$406.94	$604.16	$2,285.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.33 / $619.14 / $973.58	Professional		$434.33	$619.14	$973.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $301.83 / $486.32	Professional		$61.47	$301.83	$486.32
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 $593.11 / $764.32 / $1,120.26	Professional		$593.11	$764.32	$1,120.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $509.63 / $825.40	Professional		$422.82	$509.63	$825.40