Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,348.96	Facility		$588.84	$977.24	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $1,202.26	Professional		$562.34	$575.44	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,096.48	Facility		$524.81	$524.81	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $691.83	Professional		$562.34	$562.34	$691.83
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 $562.34 / $691.83 / $1,047.13	Facility		$562.34	$691.83	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $1,513.56	Facility		$489.78	$630.96	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $645.65	Professional		$549.54	$588.84	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $1,202.26	Facility		$537.03	$616.60	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Professional		$537.03	$537.03	$724.44