Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $216.49 / $216.49	Facility		$216.49	$216.49	$216.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $290.36 / $2,585.81	Professional		$216.49	$290.36	$2,585.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $420.01	Facility		$420.01	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $447.75	Professional		$306.61	$420.01	$447.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.48 / $529.80 / $688.75	Professional		$328.48	$529.80	$688.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $635.48 / $708.73 / $708.73	Facility		$635.48	$708.73	$708.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $403.57 / $508.02 / $762.03	Professional		$403.57	$508.02	$762.03
United Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $335.33 / $481.08	Professional		$302.77	$335.33	$481.08