Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.56 / $490.56 / $490.56	Facility		$490.56	$490.56	$490.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $427.12 / $528.62	Professional		$422.89	$427.12	$528.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.78 / $583.80 / $607.36	Facility		$467.78	$583.80	$607.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $490.81 / $587.33	Professional		$286.66	$490.81	$587.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.88 / $795.60 / $1,142.19	Facility		$575.88	$795.60	$1,142.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.18 / $573.20 / $603.34	Professional		$465.18	$573.20	$603.34
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89