Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.17 / $5,678.00 / $12,857.07	Facility		$504.17	$5,678.00	$12,857.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,249.69 / $7,396.58 / $9,850.52	Facility	50	$1,249.69	$7,396.58	$9,850.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $577.78 / $1,153.21 / $2,744.55	Professional	50	$577.78	$1,153.21	$2,744.55
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
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