Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.77 / $4,387.00 / $10,458.00	Facility		$876.77	$4,387.00	$10,458.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $657.58 / $657.58 / $657.58	Facility	54	$657.58	$657.58	$657.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $876.77 / $1,835.92	Professional		$851.39	$876.77	$1,835.92
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $130.49 / $131.52 / $275.39	Professional	55	$130.49	$131.52	$275.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.47 / $1,191.72 / $1,507.53	Professional		$688.47	$1,191.72	$1,507.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $499.85 / $775.18	Professional		$61.16	$499.85	$775.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,270.51 / $9,909.79 / $14,441.42	Facility		$7,270.51	$9,909.79	$14,441.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,103.98 / $1,226.64 / $1,431.79	Professional		$1,103.98	$1,226.64	$1,431.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $7,693.00 / $13,847.00	Facility		$2,912.00	$7,693.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.25 / $893.22 / $1,435.50	Professional		$767.25	$893.22	$1,435.50