Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.17 / $13,001.00 / $67,575.62	Facility		$1,287.17	$13,001.00	$67,575.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $257.43 / $257.43 / $257.43	Facility	53	$257.43	$257.43	$257.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.50 / $1,287.17 / $3,442.73	Professional		$897.50	$1,287.17	$3,442.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.06 / $1,564.13 / $2,647.63	Professional		$1,336.06	$1,564.13	$2,647.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.86 / $767.42 / $1,101.84	Professional		$660.86	$767.42	$1,101.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35,498.86 / $45,032.09 / $65,624.64	Facility		$35,498.86	$45,032.09	$65,624.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,762.42 / $2,492.94 / $3,087.93	Professional		$1,762.42	$2,492.94	$3,087.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $15,299.00 / $60,257.00	Facility		$3,960.00	$15,299.00	$60,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.46 / $1,207.47 / $2,348.64	Professional		$1,076.46	$1,207.47	$2,348.64