Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $465.25 / $465.25	Facility		$465.25	$465.25	$465.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.25 / $617.04 / $5,495.09	Professional		$465.25	$617.04	$5,495.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $929.71	Professional		$658.92	$902.63	$929.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $666.69 / $1,075.31 / $1,397.90	Professional		$666.69	$1,075.31	$1,397.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,289.80 / $1,438.46 / $1,438.46	Facility		$1,289.80	$1,438.46	$1,438.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $819.11 / $1,031.08 / $1,546.63	Professional		$819.11	$1,031.08	$1,546.63
United Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $720.66 / $1,033.89	Professional		$650.69	$720.66	$1,033.89