Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.63 / $3,038.00 / $4,707.00	Facility		$218.63	$3,038.00	$4,707.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.32 / $109.32 / $222.94	Facility	52	$109.32	$109.32	$222.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $340.06 / $927.48	Professional		$41.10	$340.06	$927.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.78 / $423.79 / $680.81	Professional		$242.78	$423.79	$680.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $313.52 / $402.68	Professional		$255.48	$313.52	$402.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,209.35 / $7,100.42 / $10,347.35	Facility		$5,209.35	$7,100.42	$10,347.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $483.45 / $699.17	Professional		$249.00	$483.45	$699.17
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 $343.20 / $396.10 / $748.80	Professional		$343.20	$396.10	$748.80