Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $660.69 / $8,912.51	Facility		$281.84	$660.69	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $812.83	Professional		$281.84	$281.84	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $758.58	Facility		$263.03	$263.03	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $446.68	Facility		$269.15	$281.84	$446.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $812.83	Facility		$251.19	$398.11	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $316.23	Professional		$263.03	$316.23	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $831.76	Facility		$288.40	$363.08	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $831.76	Professional		$281.84	$316.23	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $363.08	Professional		$281.84	$338.84	$363.08