Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $891.25	Facility		$371.54	$371.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $380.19	Professional		$354.81	$363.08	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Facility		$363.08	$363.08	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $398.11	Professional		$338.84	$371.54	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $407.38	Professional		$371.54	$407.38	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $147.91	Professional		$26.92	$34.67	$147.91