Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $1,091.64 / $1,091.64	Facility		$1,091.64	$1,091.64	$1,091.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.64 / $1,422.47 / $12,667.80	Professional		$1,091.64	$1,422.47	$12,667.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,165.10	Professional		$1,546.07	$1,546.07	$4,165.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,725.11 / $2,782.45 / $3,617.18	Professional		$1,725.11	$2,782.45	$3,617.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,337.43 / $3,722.11 / $3,722.11	Facility		$3,337.43	$3,722.11	$3,722.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,119.48 / $2,668.01 / $4,002.01	Professional		$2,119.48	$2,668.01	$4,002.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.77 / $1,690.94 / $2,425.86	Professional		$1,526.77	$1,690.94	$2,425.86