Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $5,370.32	Facility		$512.86	$2,454.71	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $645.65	Professional		$363.08	$436.52	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $1,096.48 / $1,412.54	Facility		$38.90	$1,096.48	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $776.25	Professional		$616.60	$616.60	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $954.99	Facility		$489.78	$588.84	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $1,621.81	Facility		$537.03	$954.99	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Professional		$489.78	$489.78	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,479.11	Facility		$562.34	$812.83	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $537.03	Professional		$407.38	$489.78	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $645.65	Facility		$537.03	$645.65	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $537.03	Professional		$229.09	$229.09	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $977.24	Professional		$245.47	$245.47	$977.24