Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $947.36 / $947.36	Facility		$947.36	$947.36	$947.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.36 / $1,270.64 / $11,315.60	Professional		$947.36	$1,270.64	$11,315.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $2,126.15	Professional		$1,389.03	$1,902.78	$2,126.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,669.03 / $2,691.99 / $3,499.58	Professional		$1,669.03	$2,691.99	$3,499.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,228.92 / $3,601.10 / $3,601.10	Facility		$3,228.92	$3,601.10	$3,601.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,050.59 / $2,581.27 / $3,871.91	Professional		$2,050.59	$2,581.27	$3,871.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,324.97 / $1,467.45 / $2,105.23	Professional		$1,324.97	$1,467.45	$2,105.23