Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $254.75 / $254.75	Facility		$254.75	$254.75	$254.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $353.23 / $3,042.91	Professional		$254.75	$353.23	$3,042.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $526.90	Professional		$360.80	$494.25	$526.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.01 / $577.44 / $750.67	Professional		$358.01	$577.44	$750.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $692.61 / $772.44 / $772.44	Facility		$692.61	$772.44	$772.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.86 / $553.69 / $830.53	Professional		$439.86	$553.69	$830.53
United Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $394.61 / $401.53	Professional		$308.98	$394.61	$401.53