Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $1,023.29	Professional		$33.11	$75.86	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $776.25	Facility		$223.87	$407.38	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $812.83	Facility		$281.84	$338.84	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03