Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.45 / $455.45 / $455.45	Facility		$455.45	$455.45	$455.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $396.56 / $490.79	Professional		$392.63	$396.56	$490.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.47 / $493.65 / $567.70	Facility		$435.47	$493.65	$567.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $392.63 / $504.58	Professional		$272.18	$392.63	$504.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $643.13 / $867.48	Facility		$505.53	$643.13	$867.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $431.89 / $532.17 / $560.16	Professional		$431.89	$532.17	$560.16
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63