Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $3,003.71 / $5,815.05	Facility		$173.88	$3,003.71	$5,815.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.78 / $34.78 / $207.46	Facility	53	$34.78	$34.78	$207.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $213.62 / $1,249.40	Professional		$147.62	$213.62	$1,249.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.84 / $1,010.02 / $1,543.37	Professional		$208.84	$1,010.02	$1,543.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $536.89 / $683.54 / $876.96	Professional		$536.89	$683.54	$876.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,327.64 / $3,074.05 / $4,479.78	Facility		$2,327.64	$3,074.05	$4,479.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.14 / $324.58 / $1,503.16	Professional		$208.14	$324.58	$1,503.16
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 $922.00 / $1,098.02 / $2,036.15	Professional		$922.00	$1,098.02	$2,036.15