Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.26 / $2,671.60 / $4,972.29	Facility		$256.26	$2,671.60	$4,972.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	52	$128.13	$128.13	$128.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $256.26 / $1,242.86	Professional		$162.52	$256.26	$1,242.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $364.99 / $1,074.76	Professional		$213.59	$364.99	$1,074.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $491.33 / $623.45	Professional		$393.73	$491.33	$623.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,686.94 / $3,607.85 / $5,257.67	Facility		$2,686.94	$3,607.85	$5,257.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.26 / $655.43 / $1,098.11	Professional		$248.26	$655.43	$1,098.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $605.94 / $1,108.13	Professional		$258.52	$605.94	$1,108.13