Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $6,165.95	Professional		$3,162.28	$3,981.07	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $4,570.88 / $4,570.88	Professional		$478.63	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $9,120.11 / $10,964.78	Facility		$7,413.10	$9,120.11	$10,964.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $10,964.78	Professional		$9,120.11	$10,964.78	$10,964.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $5,623.41	Facility		$457.09	$562.34	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $5,370.32	Professional		$457.09	$645.65	$5,370.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $758.58	Professional		$630.96	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,630.27 / $4,570.88	Facility		$309.03	$2,630.27	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,370.32	Professional		$2,884.03	$3,311.31	$5,370.32