Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $2,922.00 / $5,546.00	Facility		$117.85	$2,922.00	$5,546.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,546.00 / $5,546.00 / $5,546.00	Facility	50	$5,546.00	$5,546.00	$5,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $117.85 / $290.14	Professional		$53.98	$117.85	$290.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.51 / $290.51 / $460.35	Professional	50	$290.51	$290.51	$460.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $126.89 / $210.22	Professional		$69.48	$126.89	$210.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.98 / $110.94	Professional		$70.45	$89.98	$110.94
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 $90.23 / $181.43 / $368.71	Professional		$90.23	$181.43	$368.71
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 $83.47 / $130.02 / $210.00	Professional		$83.47	$130.02	$210.00