Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,801.89 / $8,317.64	Facility		$794.33	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,000.00	Professional		$562.34	$676.08	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $2,187.76	Facility		$870.96	$1,862.09	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,202.26	Professional		$954.99	$954.99	$1,202.26
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 $758.58 / $933.25 / $1,479.11	Facility		$758.58	$933.25	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,511.89	Facility		$831.76	$1,479.11	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,000.00	Professional		$758.58	$758.58	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,238.72	Facility		$891.25	$1,258.93	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $831.76	Professional		$630.96	$758.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,000.00	Facility		$831.76	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $831.76	Professional		$354.81	$354.81	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,513.56	Professional		$380.19	$380.19	$1,513.56