Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.88 / $902.88 / $902.88	Facility		$902.88	$902.88	$902.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.88 / $902.88 / $6,892.95	Professional		$902.88	$902.88	$6,892.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $1,426.78	Professional		$997.41	$1,366.32	$1,426.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,120.03 / $1,806.51 / $2,348.46	Professional		$1,120.03	$1,806.51	$2,348.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,166.83 / $2,416.58 / $2,416.58	Facility		$2,166.83	$2,416.58	$2,416.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,376.07 / $1,732.21 / $2,598.31	Professional		$1,376.07	$1,732.21	$2,598.31
United Facility/Professional Professional Modifier Low / Median / High Price $984.96 / $1,090.86 / $1,643.25	Professional		$984.96	$1,090.86	$1,643.25