Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $3,294.00 / $7,679.00	Facility		$279.89	$3,294.00	$7,679.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.94 / $139.94 / $421.73	Facility	52	$139.94	$139.94	$421.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $557.45 / $843.45	Professional		$197.97	$557.45	$843.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $139.94 / $421.73 / $479.45	Professional	52	$139.94	$421.73	$479.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $709.87 / $1,055.83	Professional		$250.44	$709.87	$1,055.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.39 / $488.99 / $652.14	Professional		$389.39	$488.99	$652.14
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 Professional Modifier Low / Median / High Price $255.77 / $760.64 / $1,314.26	Professional		$255.77	$760.64	$1,314.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,097.00 / $11,487.00	Facility		$2,155.00	$6,097.00	$11,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.37 / $664.80 / $1,288.07	Professional		$590.37	$664.80	$1,288.07