Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $15,848.93 / $35,481.34	Facility		$5,011.87	$15,848.93	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,884.03	Professional		$2,454.71	$2,691.53	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,762.47 / $9,120.11	Facility		$3,630.78	$7,762.47	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,011.87	Professional		$4,073.80	$4,073.80	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $6,165.95	Facility		$3,162.28	$3,890.45	$6,165.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,165.95 / $10,471.29	Facility		$3,548.13	$6,165.95	$10,471.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,265.80	Professional		$3,162.28	$3,162.28	$4,265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,248.07 / $9,772.37	Facility		$3,715.35	$5,248.07	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,548.13	Professional		$2,630.27	$3,162.28	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $4,265.80	Facility		$3,548.13	$4,265.80	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,548.13	Professional		$1,479.11	$1,479.11	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $6,309.57	Professional		$1,584.89	$1,584.89	$6,309.57