Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.36 / $2,356.00 / $5,743.00	Facility		$229.36	$2,356.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,452.83 / $2,452.83 / $2,452.83	Facility	50	$2,452.83	$2,452.83	$2,452.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $378.10 / $562.77	Professional		$198.64	$378.10	$562.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $401.99 / $401.99 / $401.99	Professional	50	$401.99	$401.99	$401.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $326.64 / $462.83	Professional		$228.16	$326.64	$462.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $227.90 / $297.52	Professional		$185.87	$227.90	$297.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,475.05 / $3,218.11 / $4,689.71	Facility		$2,475.05	$3,218.11	$4,689.71
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,712.58 / $4,827.17 / $7,034.57	Facility	50	$3,712.58	$4,827.17	$7,034.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.23 / $327.90 / $483.66	Professional		$242.23	$327.90	$483.66
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 $234.63 / $328.35 / $527.54	Professional		$234.63	$328.35	$527.54