Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,290.87 / $5,128.61	Facility		$478.63	$2,290.87	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $489.78	Professional		$338.84	$407.38	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,318.26	Facility		$524.81	$1,122.02	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $724.44	Professional		$588.84	$588.84	$724.44
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 $457.09 / $562.34 / $891.25	Facility		$457.09	$562.34	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $1,513.56	Facility		$512.86	$891.25	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $616.60	Professional		$457.09	$457.09	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,348.96	Facility		$537.03	$758.58	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $512.86	Professional		$380.19	$457.09	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $616.60	Facility		$512.86	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $912.01	Professional		$229.09	$229.09	$912.01