Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $2,981.93 / $5,206.46	Facility		$169.81	$2,981.93	$5,206.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.91 / $84.91 / $177.12	Facility	52	$84.91	$84.91	$177.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $221.99 / $538.27	Professional		$3.96	$221.99	$538.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $301.61 / $468.98	Professional		$184.64	$301.61	$468.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $227.90 / $292.38	Professional		$185.95	$227.90	$292.38
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 Professional Modifier Low / Median / High Price $189.53 / $332.45 / $560.92	Professional		$189.53	$332.45	$560.92
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 $236.28 / $365.16 / $531.24	Professional		$236.28	$365.16	$531.24