Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $562.79 / $562.79	Facility		$562.79	$562.79	$562.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $684.09 / $6,092.11	Professional		$562.79	$684.09	$6,092.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $1,416.50	Professional		$1,003.93	$1,375.24	$1,416.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $915.77 / $1,477.05 / $1,920.16	Professional		$915.77	$1,477.05	$1,920.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,771.66 / $1,975.86 / $1,975.86	Facility		$1,771.66	$1,975.86	$1,975.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.11 / $1,416.30 / $2,124.44	Professional		$1,125.11	$1,416.30	$2,124.44
United Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $871.76 / $1,250.65	Professional		$787.12	$871.76	$1,250.65