Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $831.76	Facility		$457.09	$660.69	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $537.03	Professional		$457.09	$457.09	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,023.29	Facility		$501.19	$501.19	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
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 $257.04 / $309.03 / $316.23	Facility		$257.04	$309.03	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $1,348.96	Facility		$309.03	$537.03	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $537.03	Professional		$436.52	$537.03	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $954.99	Facility		$331.13	$398.11	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $537.03	Professional		$457.09	$512.86	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09