Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $673.20 / $673.20	Facility		$673.20	$673.20	$673.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $980.82 / $7,210.49	Professional		$673.20	$980.82	$7,210.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $1,392.34	Professional		$953.43	$1,306.07	$1,392.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,038.49 / $1,674.99 / $2,177.48	Professional		$1,038.49	$1,674.99	$2,177.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,009.08 / $2,240.65 / $2,240.65	Facility		$2,009.08	$2,240.65	$2,240.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,275.90 / $1,606.10 / $2,409.15	Professional		$1,275.90	$1,606.10	$2,409.15
United Facility/Professional Professional Modifier Low / Median / High Price $816.48 / $1,042.77 / $1,335.17	Professional		$816.48	$1,042.77	$1,335.17