Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,290.87 / $5,011.87	Facility		$467.74	$2,290.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $489.78	Professional		$338.84	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,288.25	Facility		$524.81	$1,122.02	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
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 $501.19 / $501.19 / $707.95	Facility		$501.19	$501.19	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,513.56	Facility		$501.19	$870.96	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $602.56	Professional		$457.09	$457.09	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,348.96	Facility		$524.81	$758.58	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $501.19	Professional		$380.19	$457.09	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $602.56	Facility		$501.19	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $501.19	Professional		$213.80	$213.80	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $912.01	Professional		$229.09	$229.09	$912.01