Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $609.66 / $609.66	Facility		$609.66	$609.66	$609.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.98 / $609.66 / $634.29	Professional		$594.98	$609.66	$634.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $60.00	Professional		$30.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,373.59 / $1,764.35 / $2,532.98	Facility		$1,373.59	$1,764.35	$2,532.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $976.63 / $1,203.40 / $1,266.69	Professional		$976.63	$1,203.40	$1,266.69
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $612.11	Professional		$612.11	$612.11	$612.11