Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.35 / $2,912.44 / $4,387.00	Facility		$191.35	$2,912.44	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.68 / $95.68 / $521.37	Facility	52	$95.68	$95.68	$521.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $371.61 / $1,362.62	Professional		$143.94	$371.61	$1,362.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.56 / $700.74 / $1,323.56	Professional		$206.56	$700.74	$1,323.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $540.56 / $695.88	Professional		$427.16	$540.56	$695.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,326.29 / $3,036.60 / $4,425.20	Facility		$2,326.29	$3,036.60	$4,425.20
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,489.44 / $4,554.89 / $6,637.80	Facility	50	$3,489.44	$4,554.89	$6,637.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.29 / $367.28 / $1,048.51	Professional		$211.29	$367.28	$1,048.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $877.50 / $1,302.13	Professional		$574.00	$877.50	$1,302.13