Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.62 / $2,646.01 / $4,387.00	Facility		$463.62	$2,646.01	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,249.69 / $5,908.00 / $6,275.38	Facility	50	$1,249.69	$5,908.00	$6,275.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $1,398.80 / $2,165.19	Professional		$313.77	$1,398.80	$2,165.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $472.28 / $1,615.71 / $2,360.30	Professional	50	$472.28	$1,615.71	$2,360.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.62 / $768.40 / $2,997.73	Professional		$399.62	$768.40	$2,997.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,127.59 / $1,390.91 / $1,826.12	Professional		$1,127.59	$1,390.91	$1,826.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,888.83 / $10,419.48 / $15,184.17	Facility		$7,888.83	$10,419.48	$15,184.17
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,833.25 / $15,629.22 / $22,776.26	Facility	50	$11,833.25	$15,629.22	$22,776.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $455.95 / $911.50 / $3,103.54	Professional		$455.95	$911.50	$3,103.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,753.00 / $15,824.00	Facility		$3,028.00	$9,753.00	$15,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.76 / $1,857.20 / $2,925.09	Professional		$1,485.76	$1,857.20	$2,925.09