Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.13 / $2,164.00 / $4,387.00	Facility		$117.13	$2,164.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $117.13 / $248.19	Professional		$104.17	$117.13	$248.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.49 / $416.49 / $437.30	Professional	50	$416.49	$416.49	$437.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $180.33 / $229.22	Professional		$98.88	$180.33	$229.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $99.85 / $131.97	Professional		$76.48	$99.85	$131.97
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 / $192.92 / $254.58	Professional		$162.86	$192.92	$254.58
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 $106.26 / $133.19 / $188.70	Professional		$106.26	$133.19	$188.70