Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,388.44 / $7,585.78	Facility		$707.95	$3,388.44	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $912.01	Professional		$512.86	$602.56	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,698.24 / $1,949.84	Facility		$794.33	$1,698.24	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional		$870.96	$870.96	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $831.76 / $1,318.26	Facility		$691.83	$831.76	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,290.87	Facility		$758.58	$1,318.26	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Professional		$691.83	$691.83	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,089.30	Facility		$794.33	$1,148.15	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $758.58	Professional		$575.44	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $912.01	Facility		$758.58	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,380.38	Professional		$338.84	$338.84	$1,380.38