Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,388.44 / $7,413.10	Facility		$707.95	$3,388.44	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $891.25	Professional		$501.19	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $1,949.84	Facility		$776.25	$1,659.59	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Facility		$758.58	$758.58	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,238.72	Facility		$758.58	$1,318.26	$2,238.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $891.25	Professional		$676.08	$676.08	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,041.74	Facility		$794.33	$1,122.02	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $758.58	Professional		$562.34	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $891.25	Facility		$758.58	$891.25	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,348.96	Professional		$338.84	$338.84	$1,348.96