Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $776.25	Facility		$380.19	$645.65	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $912.01	Professional		$371.54	$389.05	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $707.95	Facility		$346.74	$346.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $363.08 / $562.34	Facility		$338.84	$363.08	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $912.01	Facility		$309.03	$389.05	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $416.87	Professional		$354.81	$380.19	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $741.31	Facility		$316.23	$407.38	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $478.63	Professional		$346.74	$346.74	$478.63