Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $707.95	Professional		$245.47	$288.40	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $512.86	Facility		$269.15	$269.15	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $416.87	Facility		$251.19	$263.03	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $741.31	Facility		$316.23	$512.86	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $275.42	Professional		$223.87	$275.42	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $724.44	Facility		$316.23	$380.19	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $257.04	Facility		$245.47	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $288.40	Professional		$239.88	$269.15	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $346.74	Professional		$229.09	$229.09	$346.74