Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,344.23	Professional		$1,122.02	$1,412.54	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $213.80	Facility		$144.54	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $213.80	Professional		$123.03	$144.54	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $1,698.24 / $2,041.74	Professional		$75.86	$1,698.24	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $4,466.84	Facility		$2,137.96	$3,715.35	$4,466.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $2,137.96	Facility		$204.17	$213.80	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $2,238.72	Professional		$204.17	$281.84	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Professional		$165.96	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $575.44 / $1,318.26	Facility		$11.22	$575.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,548.82	Professional		$831.76	$912.01	$1,548.82