Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.73 / $1,066.44 / $4,387.00	Facility		$248.73	$1,066.44	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $955.86 / $955.86 / $955.86	Facility	50	$955.86	$955.86	$955.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.25 / $499.50 / $785.55	Professional		$321.25	$499.50	$785.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $1,778.00 / $1,778.00	Professional	50	$639.87	$1,778.00	$1,778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $445.79 / $829.20	Professional		$279.20	$445.79	$829.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $186.41 / $232.28	Professional		$152.97	$186.41	$232.28
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 $299.83 / $351.02 / $1,070.75	Professional		$299.83	$351.02	$1,070.75
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 $381.82 / $503.88 / $837.20	Professional		$381.82	$503.88	$837.20