Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.22 / $11,692.00 / $40,727.00	Facility		$709.22	$11,692.00	$40,727.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $354.61 / $354.61 / $354.61	Facility	52	$354.61	$354.61	$354.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.84 / $141.84 / $141.84	Facility	53	$141.84	$141.84	$141.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.23 / $770.02 / $1,687.77	Professional		$549.23	$770.02	$1,687.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,746.82 / $18,042.95 / $30,211.89	Facility		$14,746.82	$18,042.95	$30,211.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.22 / $856.47 / $1,076.52	Professional		$801.22	$856.47	$1,076.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.51 / $466.19 / $670.86	Professional		$402.51	$466.19	$670.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,616.70 / $20,988.87 / $30,397.25	Facility		$16,616.70	$20,988.87	$30,397.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,094.10 / $1,338.56 / $1,673.49	Professional		$1,094.10	$1,338.56	$1,673.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,753.00 / $33,939.00	Facility		$3,028.00	$9,753.00	$33,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.62 / $749.60 / $1,234.08	Professional		$565.62	$749.60	$1,234.08