Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $3,735.00	Facility		$3,735.00	$3,735.00	$3,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $3,735.00	Professional		$3,735.00	$3,735.00	$3,735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $1,661.52	Professional		$45.00	$60.00	$1,661.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,716.24 / $8,375.61 / $12,024.39	Facility		$6,716.24	$8,375.61	$12,024.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,275.00 / $5,267.66 / $5,544.68	Professional		$4,275.00	$5,267.66	$5,544.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Professional		$3,750.00	$3,750.00	$3,750.00