Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $3,801.89	Facility		$1,174.90	$1,949.84	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,691.53	Professional		$660.69	$1,023.29	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $2,511.89	Facility		$34.67	$83.18	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,258.93 / $2,290.87	Professional		$537.03	$1,258.93	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $2,238.72	Facility		$776.25	$2,238.72	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,380.38	Facility		$1,071.52	$1,071.52	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $3,235.94	Professional		$1,071.52	$2,238.72	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Facility		$354.81	$489.78	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,951.21	Professional		$1,023.29	$1,412.54	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Facility		$478.63	$630.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $1,288.25	Professional		$416.87	$457.09	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00