Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.51 / $2,910.00 / $4,387.00	Facility		$307.51	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.63 / $230.63 / $250.91	Facility	54	$230.63	$230.63	$250.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $265.99 / $1,113.00	Professional		$213.41	$265.99	$1,113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.81 / $318.05 / $510.33	Professional		$231.81	$318.05	$510.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $169.75 / $229.06	Professional		$25.98	$169.75	$229.06
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 $311.13 / $384.76 / $570.02	Professional		$311.13	$384.76	$570.02
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 $212.70 / $263.44 / $418.32	Professional		$212.70	$263.44	$418.32