Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,089.30 / $4,677.35	Facility		$436.52	$2,089.30	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $446.68	Professional		$309.03	$371.54	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,202.26	Facility		$478.63	$1,023.29	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $660.69	Professional		$537.03	$537.03	$660.69
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 $467.74 / $467.74 / $645.65	Facility		$467.74	$467.74	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $812.83 / $1,380.38	Facility		$467.74	$812.83	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $562.34	Professional		$416.87	$416.87	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,288.25	Facility		$489.78	$691.83	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $467.74	Professional		$346.74	$416.87	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $562.34	Facility		$467.74	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $467.74	Professional		$194.98	$194.98	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $831.76	Professional		$208.93	$208.93	$831.76