Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,412.54	Professional		$660.69	$776.25	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $602.56 / $707.95	Professional		$114.82	$602.56	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $158.49	Professional		$60.26	$154.88	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Facility		$2,137.96	$2,570.40	$2,630.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,630.27	Professional		$2,137.96	$2,570.40	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $1,348.96	Facility		$128.82	$134.90	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $1,348.96	Professional		$128.82	$177.83	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $125.89	Professional		$104.71	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $602.56 / $1,023.29	Facility		$66.07	$602.56	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,071.52	Professional		$524.81	$645.65	$1,071.52