Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.56 / $3,038.00 / $7,803.14	Facility		$336.56	$3,038.00	$7,803.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $168.28 / $168.28 / $468.28	Facility	52	$168.28	$168.28	$468.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $647.96 / $1,846.45	Professional		$216.81	$647.96	$1,846.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $588.52 / $1,313.17	Professional		$286.69	$588.52	$1,313.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.43 / $639.68 / $806.43	Professional		$509.43	$639.68	$806.43
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 $299.79 / $687.36 / $1,351.84	Professional		$299.79	$687.36	$1,351.84
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 $633.88 / $831.87 / $1,343.09	Professional		$633.88	$831.87	$1,343.09