Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.69 / $3,977.00 / $9,819.00	Facility		$331.69	$3,977.00	$9,819.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.85 / $165.85 / $852.46	Facility	52	$165.85	$165.85	$852.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $728.90 / $1,704.91	Professional		$198.15	$728.90	$1,704.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $165.85 / $624.12 / $852.46	Professional	52	$165.85	$624.12	$852.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $1,520.00 / $2,164.21	Professional		$295.70	$1,520.00	$2,164.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $788.54 / $989.74 / $1,333.76	Professional		$788.54	$989.74	$1,333.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,199.25 / $10,837.22 / $15,792.94	Facility		$8,199.25	$10,837.22	$15,792.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.97 / $672.67 / $2,695.63	Professional		$337.97	$672.67	$2,695.63
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 $1,169.94 / $1,514.04 / $2,662.55	Professional		$1,169.94	$1,514.04	$2,662.55