Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,290.87 / $5,128.61	Facility		$478.63	$2,290.87	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $489.78	Professional		$338.84	$407.38	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,122.02 / $1,318.26	Facility		$537.03	$1,122.02	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $741.31	Professional		$588.84	$588.84	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Facility		$512.86	$512.86	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $1,737.80	Facility		$457.09	$812.83	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $616.60	Professional		$457.09	$457.09	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $512.86	Professional		$380.19	$457.09	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $912.01	Professional		$229.09	$229.09	$912.01