Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $3,977.00 / $8,133.00	Facility		$172.15	$3,977.00	$8,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,319.74 / $1,319.74 / $1,719.88	Facility	50	$1,319.74	$1,319.74	$1,719.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $172.15 / $269.11	Professional		$129.33	$172.15	$269.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.95 / $220.24 / $328.74	Professional		$177.95	$220.24	$328.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $114.60 / $159.30	Professional		$77.58	$114.60	$159.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,525.68 / $6,104.56 / $8,896.10	Facility		$4,525.68	$6,104.56	$8,896.10
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,788.54 / $9,156.84 / $13,344.15	Facility	50	$6,788.54	$9,156.84	$13,344.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $257.49 / $278.42	Professional		$199.74	$257.49	$278.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $187.00 / $312.37	Professional		$138.93	$187.00	$312.37