Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.01 / $2,164.00 / $4,387.00	Facility		$222.01	$2,164.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $367.22 / $367.22 / $424.48	Facility	50	$367.22	$367.22	$424.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $193.96 / $662.39	Professional		$117.91	$193.96	$662.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.03 / $528.84 / $993.59	Professional	50	$171.03	$528.84	$993.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $188.24 / $264.52	Professional		$135.60	$188.24	$264.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $91.08 / $112.17	Professional		$71.56	$91.08	$112.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.21 / $561.58 / $818.38	Facility		$432.21	$561.58	$818.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $648.32 / $842.37 / $1,227.57	Facility	50	$648.32	$842.37	$1,227.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $255.84 / $350.32	Professional		$199.26	$255.84	$350.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $161.29 / $231.25	Professional		$117.71	$161.29	$231.25