Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $5,754.40	Facility		$3,019.95	$3,981.07	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,511.89	Professional		$1,995.26	$2,041.74	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,890.45	Facility		$1,905.46	$1,905.46	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,454.71	Professional		$1,995.26	$1,995.26	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $3,019.95	Facility		$1,949.84	$1,995.26	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $5,248.07	Facility		$1,737.80	$2,238.72	$5,248.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,290.87	Professional		$1,949.84	$2,089.30	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $5,623.41	Facility		$1,949.84	$2,344.23	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,570.40	Professional		$1,995.26	$1,995.26	$2,570.40