Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.41 / $2,922.00 / $4,387.00	Facility		$222.41	$2,922.00	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.21 / $111.21 / $111.21	Facility	52	$111.21	$111.21	$111.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $222.41 / $818.06	Professional		$115.82	$222.41	$818.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $244.30 / $888.03	Professional		$146.04	$244.30	$888.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $403.72 / $517.80	Professional		$323.62	$403.72	$517.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,715.47 / $2,237.48 / $3,260.64	Facility		$1,715.47	$2,237.48	$3,260.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $304.52 / $709.78	Professional		$151.43	$304.52	$709.78
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 $177.08 / $537.53 / $991.99	Professional		$177.08	$537.53	$991.99