Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $1,816.01 / $5,268.00	Facility		$132.91	$1,816.01	$5,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,068.94 / $2,230.71 / $6,612.00	Facility	50	$2,068.94	$2,230.71	$6,612.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $173.48 / $558.91	Professional		$87.29	$173.48	$558.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.22 / $258.83 / $978.97	Professional	50	$62.22	$258.83	$978.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $194.71 / $296.58	Professional		$106.72	$194.71	$296.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $179.97 / $220.60	Professional		$140.22	$179.97	$220.60
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 $149.44 / $269.95 / $450.49	Professional		$149.44	$269.95	$450.49
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 $151.22 / $186.29 / $295.80	Professional		$151.22	$186.29	$295.80