Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.94 / $3,294.00 / $6,161.00	Facility		$384.94	$3,294.00	$6,161.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $192.47 / $192.47 / $192.47	Facility	52	$192.47	$192.47	$192.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $381.07 / $1,256.41	Professional		$192.28	$381.07	$1,256.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $416.00 / $1,134.33	Professional		$250.62	$416.00	$1,134.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.99 / $532.87 / $662.27	Professional		$417.99	$532.87	$662.27
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 $283.52 / $623.51 / $903.18	Professional		$283.52	$623.51	$903.18
United Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $4,455.00 / $4,912.00	Facility		$871.00	$4,455.00	$4,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.79 / $672.84 / $1,233.53	Professional		$387.79	$672.84	$1,233.53