Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $338.84	Professional		$186.21	$199.53	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $831.76	Facility		$208.93	$208.93	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Professional		$208.93	$208.93	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Facility		$147.91	$147.91	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $501.19	Facility		$169.82	$169.82	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $436.52	Facility		$147.91	$177.83	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42