Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.22 / $4,104.50 / $5,758.89	Facility		$213.22	$4,104.50	$5,758.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $219.12 / $286.75	Professional		$180.50	$219.12	$286.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.02 / $465.95 / $552.86	Professional		$299.02	$465.95	$552.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $498.53	Professional		$30.00	$45.00	$498.53
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 $252.30 / $308.44 / $329.80	Professional		$252.30	$308.44	$329.80
United Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $303.01 / $449.09	Professional		$192.46	$303.01	$449.09