Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $4,387.00 / $10,458.00	Facility		$919.83	$4,387.00	$10,458.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $689.87 / $689.87 / $689.87	Facility	54	$689.87	$689.87	$689.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $919.83 / $1,934.76	Professional		$738.41	$919.83	$1,934.76
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $137.74 / $137.97 / $290.20	Professional	55	$137.74	$137.97	$290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.34 / $1,282.02 / $1,656.33	Professional		$714.34	$1,282.02	$1,656.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $527.38 / $822.62	Professional		$61.32	$527.38	$822.62
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 $1,164.90 / $1,294.33 / $1,902.83	Professional		$1,164.90	$1,294.33	$1,902.83
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 $730.66 / $923.05 / $1,353.87	Professional		$730.66	$923.05	$1,353.87