Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $2,912.17 / $4,524.17	Facility		$482.48	$2,912.17	$4,524.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.19 / $128.19 / $128.19	Facility	52	$128.19	$128.19	$128.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $256.39 / $725.00	Professional		$163.65	$256.39	$725.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $314.25 / $754.13	Professional		$206.80	$314.25	$754.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.10 / $356.42 / $446.57	Professional		$279.10	$356.42	$446.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $1,718.74 / $2,504.69	Facility		$1,338.59	$1,718.74	$2,504.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.26 / $457.90 / $740.49	Professional		$234.26	$457.90	$740.49
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 $220.37 / $399.74 / $730.62	Professional		$220.37	$399.74	$730.62