Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.00 / $2,043.00 / $15,690.40	Professional		$2,043.00	$2,043.00	$15,690.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,592.34 / $1,943.53 / $2,536.17	Professional		$1,592.34	$1,943.53	$2,536.17
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 Facility Modifier 50 Low / Median / High Price $12,298.88 / $16,255.83 / $23,689.41	Facility	50	$12,298.88	$16,255.83	$23,689.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $1,456.03 / $7,004.56	Professional		$562.79	$1,456.03	$7,004.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,709.30 / $3,211.62 / $5,911.21	Professional		$2,709.30	$3,211.62	$5,911.21