Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.88 / $3,474.26 / $5,844.00	Facility		$322.88	$3,474.26	$5,844.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,825.73 / $3,760.19 / $6,530.48	Facility	50	$1,825.73	$3,760.19	$6,530.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $444.12 / $1,281.85	Professional		$203.55	$444.12	$1,281.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.02 / $708.38 / $2,799.00	Professional	50	$293.02	$708.38	$2,799.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $456.62 / $745.19	Professional		$260.33	$456.62	$745.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $302.96 / $402.81	Professional		$25.98	$302.96	$402.81
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 $318.27 / $662.84 / $1,080.68	Professional		$318.27	$662.84	$1,080.68
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 $362.29 / $463.46 / $727.87	Professional		$362.29	$463.46	$727.87