Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.10 / $886.10 / $886.10	Facility		$886.10	$886.10	$886.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.96 / $768.19 / $886.10	Professional		$658.96	$768.19	$886.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.96 / $1,191.38 / $1,632.15	Professional		$883.96	$1,191.38	$1,632.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $80.00	Professional		$30.00	$45.00	$80.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $807.52 / $1,019.99 / $1,480.97	Facility		$807.52	$1,019.99	$1,480.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $859.43 / $1,089.55 / $1,362.53	Professional		$859.43	$1,089.55	$1,362.53
United Facility/Professional Professional Modifier Low / Median / High Price $700.80 / $842.21 / $1,270.48	Professional		$700.80	$842.21	$1,270.48