Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $2,164.00 / $4,387.00	Facility		$120.71	$2,164.00	$4,387.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $607.88 / $703.72 / $1,713.12	Facility	50	$607.88	$703.72	$1,713.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $147.72 / $325.44	Professional		$111.94	$147.72	$325.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.56 / $174.95 / $472.10	Professional	50	$162.56	$174.95	$472.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $180.74 / $249.73	Professional		$113.91	$180.74	$249.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $100.72 / $130.56	Professional		$76.48	$100.72	$130.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $552.34 / $804.92	Facility		$432.75	$552.34	$804.92
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $649.13 / $828.51 / $1,207.38	Facility	50	$649.13	$828.51	$1,207.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $209.62 / $285.27	Professional		$162.86	$209.62	$285.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $151.19 / $235.21	Professional		$116.10	$151.19	$235.21