Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,467.37 / $6,606.93	Facility		$616.60	$3,467.37	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $794.33	Professional		$446.68	$524.81	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $1,698.24	Facility		$691.83	$1,479.11	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $954.99	Professional		$758.58	$758.58	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Facility		$660.69	$660.69	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,995.26	Facility		$660.69	$1,148.15	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Professional		$602.56	$602.56	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,819.70	Facility		$691.83	$1,000.00	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $660.69	Professional		$562.34	$588.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $794.33	Facility		$660.69	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $660.69	Professional		$275.42	$275.42	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,202.26	Professional		$295.12	$295.12	$1,202.26