Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $2,910.00 / $4,387.00	Facility		$94.72	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $811.87 / $811.87 / $960.72	Facility	50	$811.87	$811.87	$960.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $116.32 / $314.64	Professional		$58.32	$116.32	$314.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $321.81 / $337.89 / $524.54	Professional	50	$321.81	$337.89	$524.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $115.84 / $204.66	Professional		$71.43	$115.84	$204.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.98 / $111.24	Professional		$70.45	$89.98	$111.24
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 Facility Modifier 50 Low / Median / High Price $1,575.71 / $1,990.31 / $2,866.22	Facility	50	$1,575.71	$1,990.31	$2,866.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $173.94 / $296.05	Professional		$95.76	$173.94	$296.05
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 $88.08 / $128.21 / $193.74	Professional		$88.08	$128.21	$193.74