Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $218.52 / $218.52	Facility		$218.52	$218.52	$218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $293.10 / $2,610.17	Professional		$218.52	$293.10	$2,610.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $503.49	Professional		$344.78	$472.30	$503.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $377.75 / $609.29 / $792.07	Professional		$377.75	$609.29	$792.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $730.83 / $815.06 / $815.06	Facility		$730.83	$815.06	$815.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.13 / $584.23 / $876.35	Professional		$464.13	$584.23	$876.35
United Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $338.50 / $485.61	Professional		$305.63	$338.50	$485.61