Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.80 / $3,647.87 / $6,824.20	Facility		$900.80	$3,647.87	$6,824.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,511.00 / $4,179.56 / $7,007.18	Facility	50	$1,511.00	$4,179.56	$7,007.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.13 / $104.13 / $335.47	Facility	52	$104.13	$104.13	$335.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.65 / $41.65 / $134.19	Facility	53	$41.65	$41.65	$134.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $330.40 / $946.01	Professional		$96.02	$330.40	$946.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.00 / $223.70 / $1,462.70	Professional	50	$44.00	$223.70	$1,462.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.12 / $484.65 / $733.26	Professional		$209.12	$484.65	$733.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $314.75 / $407.95	Professional		$253.85	$314.75	$407.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,086.24 / $6,609.94 / $9,632.58	Facility		$5,086.24	$6,609.94	$9,632.58
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,629.36 / $9,914.91 / $14,448.87	Facility	50	$7,629.36	$9,914.91	$14,448.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.41 / $356.42 / $992.21	Professional		$222.41	$356.42	$992.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $522.85 / $932.40	Professional		$427.35	$522.85	$932.40