Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.83 / $2,633.98 / $3,977.00	Facility		$171.83	$2,633.98	$3,977.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,011.10 / $1,011.10 / $1,011.10	Facility	50	$1,011.10	$1,011.10	$1,011.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $114.18 / $333.81	Professional		$61.98	$114.18	$333.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $125.56 / $209.96	Professional		$76.63	$125.56	$209.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $122.33 / $144.65	Professional		$94.71	$122.33	$144.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,361.81 / $1,728.22 / $2,518.51	Facility		$1,361.81	$1,728.22	$2,518.51
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,042.72 / $2,592.33 / $3,777.77	Facility	50	$2,042.72	$2,592.33	$3,777.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $193.80 / $311.00	Professional		$114.02	$193.80	$311.00
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 $99.82 / $128.80 / $202.86	Professional		$99.82	$128.80	$202.86