Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $3,038.00 / $4,540.63	Facility		$329.51	$3,038.00	$4,540.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $952.82 / $3,306.00 / $5,426.85	Facility	50	$952.82	$3,306.00	$5,426.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $440.29 / $1,187.43	Professional		$198.07	$440.29	$1,187.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $595.62 / $2,780.00	Professional	50	$315.20	$595.62	$2,780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $462.94 / $738.56	Professional		$259.89	$462.94	$738.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $302.43 / $391.26	Professional		$28.59	$302.43	$391.26
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 $317.70 / $673.21 / $1,090.02	Professional		$317.70	$673.21	$1,090.02
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 $358.20 / $477.60 / $720.46	Professional		$358.20	$477.60	$720.46