Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $10,000.00 / $22,387.21	Facility		$2,089.30	$10,000.00	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,137.96	Professional		$1,479.11	$1,778.28	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $5,754.40	Facility		$2,290.87	$4,897.79	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,162.28	Professional		$2,570.40	$2,570.40	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Facility		$2,238.72	$2,238.72	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $6,606.93	Facility		$2,238.72	$3,890.45	$6,606.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,691.53	Professional		$1,995.26	$1,995.26	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $6,165.95	Facility		$2,344.23	$3,311.31	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,238.72	Professional		$1,905.46	$1,995.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $2,691.53	Facility		$2,238.72	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,238.72	Professional		$933.25	$933.25	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,981.07	Professional		$1,000.00	$1,000.00	$3,981.07