Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,951.21	Facility		$1,258.93	$1,258.93	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,288.25	Professional		$1,174.90	$1,230.27	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Facility		$1,548.82	$1,819.70	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $4,466.84	Facility		$1,318.26	$1,513.56	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,290.87	Facility		$1,258.93	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $12.88 / $128.82	Facility		$1.26	$12.88	$128.82