Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,467.37 / $7,762.47	Facility		$724.44	$3,467.37	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $741.31	Professional		$512.86	$616.60	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,698.24 / $1,995.26	Facility		$794.33	$1,698.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $1,348.96	Facility		$691.83	$851.14	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,290.87	Facility		$776.25	$1,348.96	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Professional		$691.83	$691.83	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,041.74	Facility		$812.83	$1,148.15	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $776.25	Professional		$575.44	$691.83	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $933.25	Facility		$776.25	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $776.25	Professional		$323.59	$323.59	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $1,380.38	Professional		$346.74	$346.74	$1,380.38