Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $3,388.44	Facility		$794.33	$1,071.52	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $851.14	Professional		$389.05	$478.63	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,318.26 / $1,513.56	Facility		$602.56	$1,318.26	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $831.76	Professional		$295.12	$616.60	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,096.48	Facility		$575.44	$575.44	$1,096.48
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 / $245.47 / $575.44	Professional		$245.47	$245.47	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,047.13	Professional		$263.03	$263.03	$1,047.13