Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $926.42 / $926.42	Facility		$926.42	$926.42	$926.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $926.42 / $5,854.58	Professional		$300.00	$926.42	$5,854.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $1,700.43	Professional		$1,403.27	$1,650.90	$1,700.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $953.21 / $1,537.45 / $2,006.04	Professional		$953.21	$1,537.45	$2,006.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,844.10 / $2,056.66 / $2,056.66	Facility		$1,844.10	$2,056.66	$2,056.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,474.21 / $1,813.33 / $2,211.32	Professional		$1,474.21	$1,813.33	$2,211.32
United Facility/Professional Facility Modifier Low / Median / High Price $772.32 / $1,224.69 / $1,235.70	Facility		$772.32	$1,224.69	$1,235.70
United Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $926.78 / $2,053.57	Professional		$926.78	$926.78	$2,053.57