Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,621.81	Professional		$758.58	$891.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $177.83 / $181.97	Professional		$60.26	$177.83	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Facility		$2,511.89	$3,019.95	$3,019.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Professional		$2,511.89	$3,019.95	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $1,584.89	Facility		$147.91	$158.49	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $1,584.89	Professional		$147.91	$177.83	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $147.91	Professional		$120.23	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $691.83 / $1,202.26	Facility		$75.86	$691.83	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,258.93	Professional		$602.56	$758.58	$1,258.93