Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $468.34 / $468.34	Facility		$468.34	$468.34	$468.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.34 / $628.16 / $5,594.06	Professional		$468.34	$628.16	$5,594.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $1,068.73	Professional		$663.30	$908.63	$1,068.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $838.95 / $1,353.15 / $1,759.09	Professional		$838.95	$1,353.15	$1,759.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,623.05 / $1,810.13 / $1,810.13	Facility		$1,623.05	$1,810.13	$1,810.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,030.74 / $1,297.50 / $1,946.25	Professional		$1,030.74	$1,297.50	$1,946.25
United Facility/Professional Professional Modifier Low / Median / High Price $655.02 / $725.45 / $1,040.75	Professional		$655.02	$725.45	$1,040.75