Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.71 / $974.57 / $3,977.00	Facility		$328.71	$974.57	$3,977.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $793.76 / $1,146.21 / $2,909.96	Facility	50	$793.76	$1,146.21	$2,909.96
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.02 / $233.02 / $246.53	Facility	54	$233.02	$233.02	$246.53
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $46.60 / $46.60 / $49.31	Facility	55	$46.60	$46.60	$49.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $317.55 / $663.89	Professional		$251.77	$317.55	$663.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $458.79 / $753.40 / $1,150.45	Professional	50	$458.79	$753.40	$1,150.45
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $233.02 / $246.53 / $497.92	Professional	54	$233.02	$246.53	$497.92
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $46.60 / $49.31 / $99.58	Professional	55	$46.60	$49.31	$99.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.81 / $461.50 / $587.47	Professional		$255.81	$461.50	$587.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $180.85 / $280.44	Professional		$29.37	$180.85	$280.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.54 / $1,102.11 / $1,606.11	Facility		$832.54	$1,102.11	$1,606.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,248.81 / $1,653.18 / $2,409.17	Facility	50	$1,248.81	$1,653.18	$2,409.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $423.83 / $482.53 / $667.01	Professional		$423.83	$482.53	$667.01
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 $265.77 / $332.55 / $479.40	Professional		$265.77	$332.55	$479.40