Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.57 / $4,805.88 / $10,458.00	Facility		$698.57	$4,805.88	$10,458.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $139.71 / $139.71 / $139.71	Facility	53	$139.71	$139.71	$139.71
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $523.92 / $523.92 / $523.92	Facility	54	$523.92	$523.92	$523.92
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $104.79 / $104.79 / $104.79	Facility	55	$104.79	$104.79	$104.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $698.57 / $1,462.88	Professional		$584.94	$698.57	$1,462.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.00 / $104.79 / $219.43	Professional	55	$104.00	$104.79	$219.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.39 / $969.29 / $1,254.54	Professional		$549.39	$969.29	$1,254.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $378.69 / $605.62	Professional		$61.16	$378.69	$605.62
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 $882.49 / $980.54 / $1,142.54	Professional		$882.49	$980.54	$1,142.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,912.00 / $13,847.00	Facility		$1,202.00	$4,912.00	$13,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.50 / $711.00 / $1,121.64	Professional		$592.50	$711.00	$1,121.64