Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,621.81 / $3,548.13	Facility		$338.84	$1,621.81	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $288.40 / $346.74	Professional		$3.98	$288.40	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $933.25	Facility		$371.54	$794.33	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
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 $323.59 / $389.05 / $630.96	Facility		$323.59	$389.05	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $1,071.52	Facility		$354.81	$630.96	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $426.58	Professional		$323.59	$323.59	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $954.99	Facility		$371.54	$537.03	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $354.81	Professional		$269.15	$323.59	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $426.58	Facility		$354.81	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $354.81	Professional		$151.36	$151.36	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $645.65	Professional		$162.18	$162.18	$645.65