Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.99 / $4,174.37 / $7,568.00	Facility		$195.99	$4,174.37	$7,568.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,454.37 / $1,454.37 / $1,454.37	Facility	50	$1,454.37	$1,454.37	$1,454.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $1,412.21 / $4,174.37	Professional		$171.03	$1,412.21	$4,174.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $1,949.26 / $4,841.75	Professional		$196.72	$1,949.26	$4,841.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,020.95 / $1,313.52 / $1,671.09	Professional		$1,020.95	$1,313.52	$1,671.09
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 $207.91 / $2,126.14 / $3,732.28	Professional		$207.91	$2,126.14	$3,732.28
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 $1,752.96 / $2,549.76 / $3,941.27	Professional		$1,752.96	$2,549.76	$3,941.27