Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.82 / $2,744.00 / $4,707.00	Facility		$215.82	$2,744.00	$4,707.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,056.54 / $1,248.33 / $2,765.55	Facility	50	$1,056.54	$1,248.33	$2,765.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $187.67 / $264.61	Professional		$73.13	$187.67	$264.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $188.40 / $188.40 / $188.40	Professional	50	$188.40	$188.40	$188.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $229.46 / $349.79	Professional		$187.81	$229.46	$349.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $141.04 / $188.87	Professional		$117.75	$141.04	$188.87
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 $207.14 / $282.74 / $348.08	Professional		$207.14	$282.74	$348.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $184.00 / $325.43	Professional		$149.16	$184.00	$325.43