Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $3,038.00 / $7,679.00	Facility		$279.70	$3,038.00	$7,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $480.67 / $1,167.11	Professional		$279.70	$480.67	$1,167.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $403.53 / $864.64	Professional		$241.80	$403.53	$864.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $313.35 / $428.91	Professional		$26.80	$313.35	$428.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,904.80 / $3,669.11 / $5,334.93	Facility		$2,904.80	$3,669.11	$5,334.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,357.20 / $5,503.67 / $8,002.40	Facility	50	$4,357.20	$5,503.67	$8,002.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $519.72 / $1,280.83	Professional		$359.16	$519.72	$1,280.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,613.00 / $7,048.00	Facility		$1,981.00	$3,613.00	$7,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.79 / $707.00 / $1,018.09	Professional		$484.79	$707.00	$1,018.09