Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $3,294.00 / $7,568.00	Facility		$200.27	$3,294.00	$7,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $1,425.75 / $2,835.34	Professional		$168.12	$1,425.75	$2,835.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $1,967.10 / $3,060.05	Professional		$216.76	$1,967.10	$3,060.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,045.21 / $1,341.21 / $1,709.91	Professional		$1,045.21	$1,341.21	$1,709.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,633.73 / $12,977.17 / $18,911.45	Facility		$9,633.73	$12,977.17	$18,911.45
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,450.60 / $19,465.75 / $28,367.18	Facility	50	$14,450.60	$19,465.75	$28,367.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $2,144.85 / $3,738.97	Professional		$227.73	$2,144.85	$3,738.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $8,267.00	Facility		$2,155.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,766.82 / $2,149.37 / $3,854.89	Professional		$1,766.82	$2,149.37	$3,854.89