Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.67 / $3,977.00 / $13,080.00	Facility		$540.67	$3,977.00	$13,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.90 / $1,250.00 / $3,014.58	Professional		$372.90	$1,250.00	$3,014.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,597.00 / $3,597.00 / $3,597.00	Professional	50	$3,597.00	$3,597.00	$3,597.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $1,513.43 / $2,123.73	Professional		$386.84	$1,513.43	$2,123.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $678.40 / $824.23 / $1,109.35	Professional		$678.40	$824.23	$1,109.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,735.70 / $6,043.65 / $8,807.33	Facility		$4,735.70	$6,043.65	$8,807.33
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,103.55 / $9,065.48 / $13,211.00	Facility	50	$7,103.55	$9,065.48	$13,211.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.05 / $937.95 / $3,415.11	Professional		$394.05	$937.95	$3,415.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $6,097.00 / $8,267.00	Facility		$1,202.00	$6,097.00	$8,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,284.69 / $1,722.81 / $2,802.96	Professional		$1,284.69	$1,722.81	$2,802.96