Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.94 / $4,387.00 / $8,344.00	Facility		$759.94	$4,387.00	$8,344.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $569.96 / $569.96 / $569.96	Facility	54	$569.96	$569.96	$569.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $759.94 / $1,796.56	Professional		$616.03	$759.94	$1,796.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.23 / $1,128.67 / $1,463.10	Professional		$597.23	$1,128.67	$1,463.10
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 $3,435.37 / $4,418.50 / $6,439.02	Facility		$3,435.37	$4,418.50	$6,439.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,080.05 / $1,200.05 / $1,575.87	Professional		$1,080.05	$1,200.05	$1,575.87
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 $646.24 / $784.49 / $1,147.00	Professional		$646.24	$784.49	$1,147.00