Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $354.81	Professional		$213.80	$288.40	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $562.34	Facility		$467.74	$562.34	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Facility		$380.19	$380.19	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $724.44	Professional		$380.19	$562.34	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $776.25	Professional		$354.81	$467.74	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $602.56	Professional		$316.23	$316.23	$602.56