Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $295.12	Facility		$125.89	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $851.14	Professional		$223.87	$323.59	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $912.01	Facility		$323.59	$323.59	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $30.20 / $50.12	Professional		$2.69	$30.20	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $537.03	Facility		$446.68	$537.03	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $446.68	Facility		$151.36	$331.13	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $331.13	Professional		$269.15	$331.13	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $389.05	Facility		$131.83	$199.53	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $346.74	Professional		$288.40	$323.59	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42