Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $1,096.48	Facility		$660.69	$794.33	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,778.28	Professional		$602.56	$660.69	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,819.70 / $2,187.76	Facility		$851.14	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $524.81	Professional		$151.36	$416.87	$524.81
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 $812.83 / $2,089.30 / $2,884.03	Facility		$812.83	$2,089.30	$2,884.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,677.35	Facility		$1,621.81	$2,454.71	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,096.48	Professional		$831.76	$1,000.00	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,495.41	Facility		$2,290.87	$3,019.95	$5,495.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33