Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,621.81	Professional		$776.25	$891.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $2,041.74	Professional		$125.89	$1,230.27	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $173.78	Professional		$60.26	$169.82	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,019.95	Facility		$2,454.71	$2,951.21	$3,019.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,019.95	Professional		$2,454.71	$2,951.21	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $1,513.56	Facility		$141.25	$151.36	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $1,513.56	Professional		$141.25	$302.00	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $141.25	Professional		$114.82	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $512.86 / $1,174.90	Facility		$8.91	$512.86	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,230.27	Professional		$588.84	$741.31	$1,230.27