Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $1,047.13	Facility		$407.38	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $524.81	Professional		$416.87	$426.58	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $891.25	Facility		$398.11	$398.11	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $512.86	Professional		$416.87	$416.87	$512.86
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 $436.52 / $501.19 / $812.83	Facility		$436.52	$501.19	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,258.93	Facility		$354.81	$512.86	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $512.86	Professional		$426.58	$512.86	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $1,148.15	Facility		$398.11	$478.63	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54