Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $252.48 / $252.48	Facility		$252.48	$252.48	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $277.50 / $2,471.30	Professional		$252.48	$277.50	$2,471.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $665.79	Professional		$455.91	$624.54	$665.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.53 / $647.64 / $841.93	Professional		$401.53	$647.64	$841.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.83 / $866.36 / $866.36	Facility		$776.83	$866.36	$866.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.33 / $621.01 / $931.51	Professional		$493.33	$621.01	$931.51
United Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $391.10 / $651.83	Professional		$353.48	$391.10	$651.83