Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $613.44 / $613.44	Facility		$613.44	$613.44	$613.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $668.45 / $5,952.89	Professional		$613.44	$668.45	$5,952.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $1,597.84	Professional		$1,132.45	$1,551.30	$1,597.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $931.04 / $1,501.69 / $1,952.19	Professional		$931.04	$1,501.69	$1,952.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,801.21 / $2,008.83 / $2,008.83	Facility		$1,801.21	$2,008.83	$2,008.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,143.90 / $1,439.93 / $2,159.89	Professional		$1,143.90	$1,439.93	$2,159.89
United Facility/Professional Professional Modifier Low / Median / High Price $857.95 / $950.20 / $1,542.78	Professional		$857.95	$950.20	$1,542.78