Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $684.12 / $684.12	Facility		$684.12	$684.12	$684.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.12 / $865.08 / $7,308.86	Professional		$684.12	$865.08	$7,308.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $1,414.94	Professional		$968.91	$1,327.28	$1,414.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,103.25 / $1,779.45 / $2,313.28	Professional		$1,103.25	$1,779.45	$2,313.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,134.38 / $2,380.39 / $2,380.39	Facility		$2,134.38	$2,380.39	$2,380.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,355.49 / $1,706.26 / $2,559.40	Professional		$1,355.49	$1,706.26	$2,559.40
United Facility/Professional Professional Modifier Low / Median / High Price $829.74 / $1,059.70 / $1,356.85	Professional		$829.74	$1,059.70	$1,356.85