Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $515.29 / $515.29	Facility		$515.29	$515.29	$515.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $804.04 / $5,043.43	Professional		$515.29	$804.04	$5,043.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,433.06	Facility		$1,162.20	$1,162.20	$1,433.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,162.20 / $1,433.06	Professional		$848.41	$1,162.20	$1,433.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $819.50 / $1,321.78 / $1,718.31	Professional		$819.50	$1,321.78	$1,718.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,585.41 / $1,768.15 / $1,768.15	Facility		$1,585.41	$1,768.15	$1,768.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.84 / $1,267.41 / $1,901.12	Professional		$1,006.84	$1,267.41	$1,901.12
United Facility/Professional Professional Modifier Low / Median / High Price $624.96 / $798.17 / $937.44	Professional		$624.96	$798.17	$937.44