Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $6,456.54	Facility		$602.56	$2,884.03	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $776.25	Professional		$426.58	$501.19	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,412.54 / $1,659.59	Facility		$660.69	$1,412.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $831.76	Professional		$676.08	$676.08	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $707.95 / $1,122.02	Facility		$575.44	$707.95	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,905.46	Facility		$645.65	$1,122.02	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,778.28	Facility		$676.08	$954.99	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $645.65	Professional		$549.54	$575.44	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $776.25	Facility		$645.65	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $645.65	Professional		$269.15	$269.15	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $1,148.15	Professional		$288.40	$288.40	$1,148.15