Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,819.70 / $2,238.72	Facility		$93.33	$1,819.70	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $2,630.27	Professional		$30.20	$47.86	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,290.87	Professional		$1,318.26	$1,659.59	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $263.03 / $933.25	Professional		$64.57	$263.03	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,949.84	Facility		$1,230.27	$1,348.96	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,089.30	Professional		$1,348.96	$1,348.96	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,089.30	Professional		$1,380.38	$1,659.59	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $83.18	Professional		$44.67	$58.88	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68