Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.26 / $4,482.62 / $9,907.00	Facility		$693.26	$4,482.62	$9,907.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.03 / $693.26 / $974.56	Professional		$443.03	$693.26	$974.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $346.63 / $487.28 / $649.59	Professional	52	$346.63	$487.28	$649.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.74 / $600.24 / $772.30	Professional		$393.74	$600.24	$772.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $290.58 / $394.14	Professional		$28.82	$290.58	$394.14
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 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 $385.83 / $1,032.88 / $1,537.09	Professional		$385.83	$1,032.88	$1,537.09
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 $418.44 / $634.01 / $940.81	Professional		$418.44	$634.01	$940.81