Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,388.44	Facility		$794.33	$1,202.26	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,122.02	Professional		$426.58	$537.03	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,862.09	Facility		$602.56	$1,288.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,148.15	Professional		$363.08	$660.69	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $446.68 / $616.60	Professional		$75.86	$446.68	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $954.99	Facility		$575.44	$575.44	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,737.80	Facility		$575.44	$1,023.29	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Professional		$524.81	$524.81	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,584.89	Facility		$602.56	$870.96	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $575.44	Professional		$436.52	$524.81	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $691.83	Facility		$575.44	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $645.65	Professional		$245.47	$288.40	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,047.13	Professional		$263.03	$263.03	$1,047.13