Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.94 / $3,757.00 / $5,670.66	Facility		$728.94	$3,757.00	$5,670.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $546.71 / $546.71 / $546.71	Facility	54	$546.71	$546.71	$546.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $728.94 / $1,775.80	Professional		$577.41	$728.94	$1,775.80
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $109.34 / $109.34 / $266.37	Professional	55	$109.34	$109.34	$266.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $1,083.83 / $1,446.60	Professional		$588.04	$1,083.83	$1,446.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $474.37 / $766.54	Professional		$61.16	$474.37	$766.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,275.72 / $7,825.28 / $11,234.31	Facility		$6,275.72	$7,825.28	$11,234.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,067.85 / $1,186.51 / $1,553.05	Professional		$1,067.85	$1,186.51	$1,553.05
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 $622.72 / $777.15 / $1,132.71	Professional		$622.72	$777.15	$1,132.71