Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,235.94 / $7,079.46	Facility		$676.08	$3,235.94	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $851.14	Professional		$478.63	$575.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,584.89 / $1,819.70	Facility		$741.31	$1,584.89	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,023.29	Professional		$812.83	$812.83	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,000.00	Facility		$707.95	$707.95	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $2,137.96	Facility		$707.95	$1,258.93	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Professional		$645.65	$645.65	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,949.84	Facility		$741.31	$1,071.52	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $707.95	Professional		$602.56	$645.65	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $851.14	Facility		$707.95	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $707.95	Professional		$302.00	$302.00	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,288.25	Professional		$323.59	$323.59	$1,288.25