Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $11,220.18 / $25,118.86	Facility		$2,344.23	$11,220.18	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,951.21	Professional		$1,659.59	$1,949.84	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $6,456.54	Facility		$2,570.40	$5,495.41	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,548.13	Professional		$2,884.03	$2,884.03	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,365.16	Facility		$2,238.72	$2,754.23	$4,365.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $7,413.10	Facility		$2,511.89	$4,365.16	$7,413.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,019.95	Professional		$2,238.72	$2,238.72	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $6,606.93	Facility		$2,630.27	$3,715.35	$6,606.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,511.89	Professional		$1,862.09	$2,238.72	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Facility		$2,511.89	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,511.89	Professional		$1,047.13	$1,047.13	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $4,466.84	Professional		$1,122.02	$1,122.02	$4,466.84