Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $622.55 / $622.55	Facility		$622.55	$622.55	$622.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.55 / $684.23 / $6,093.35	Professional		$622.55	$684.23	$6,093.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $1,287.59	Professional		$881.72	$1,207.83	$1,287.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $990.09 / $1,596.92 / $2,075.99	Professional		$990.09	$1,596.92	$2,075.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,915.44 / $2,136.21 / $2,136.21	Facility		$1,915.44	$2,136.21	$2,136.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,216.43 / $1,531.24 / $2,296.85	Professional		$1,216.43	$1,531.24	$2,296.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $870.71 / $964.33 / $1,583.93	Professional		$870.71	$964.33	$1,583.93