Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.51 / $2,552.39 / $4,387.00	Facility		$238.51	$2,552.39	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,169.33 / $1,169.33 / $1,405.49	Facility	50	$1,169.33	$1,169.33	$1,405.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $240.25 / $622.75	Professional		$119.29	$240.25	$622.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.22 / $355.28 / $1,212.03	Professional	50	$86.22	$355.28	$1,212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $221.62 / $416.00	Professional		$133.59	$221.62	$416.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $169.75 / $228.26	Professional		$25.98	$169.75	$228.26
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 $197.05 / $278.79 / $458.79	Professional		$197.05	$278.79	$458.79
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 $130.24 / $241.71 / $387.75	Professional		$130.24	$241.71	$387.75