Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.43 / $983.55 / $4,291.00	Facility		$217.43	$983.55	$4,291.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.26 / $56.26 / $108.72	Facility	52	$56.26	$56.26	$108.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $151.40 / $708.00	Professional		$62.34	$151.40	$708.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $145.66 / $232.49	Professional		$78.06	$145.66	$232.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $118.83 / $148.85	Professional		$93.54	$118.83	$148.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,326.87 / $1,910.81	Facility		$1,050.47	$1,326.87	$1,910.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $217.44 / $420.80	Professional		$105.17	$217.44	$420.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $155.38 / $239.81	Professional		$124.21	$155.38	$239.81