Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.22 / $4,215.35 / $7,568.00	Facility		$239.22	$4,215.35	$7,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $934.25 / $4,215.35	Professional		$200.53	$934.25	$4,215.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $1,998.05 / $4,890.78	Professional		$245.56	$1,998.05	$4,890.78
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 $258.67 / $2,177.48 / $3,799.03	Professional		$258.67	$2,177.48	$3,799.03
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 $1,790.91 / $2,618.42 / $4,026.59	Professional		$1,790.91	$2,618.42	$4,026.59