Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.58 / $667.58 / $667.58	Facility		$667.58	$667.58	$667.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.25 / $719.38	Professional		$575.50	$581.25	$719.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.85 / $903.34 / $1,015.06	Facility		$769.85	$903.34	$1,015.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $632.88 / $791.10	Professional		$60.00	$632.88	$791.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $953.58 / $1,367.43 / $1,992.74	Facility		$953.58	$1,367.43	$1,992.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $633.04 / $780.04 / $821.06	Professional		$633.04	$780.04	$821.06
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50