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 / $4,570.88	Facility		$436.52	$2,089.30	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $446.68	Professional		$309.03	$354.81	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,174.90	Facility		$478.63	$1,023.29	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $645.65	Facility		$457.09	$457.09	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $1,380.38	Facility		$457.09	$812.83	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $549.54	Professional		$416.87	$416.87	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,258.93	Facility		$478.63	$691.83	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $457.09	Professional		$346.74	$416.87	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $549.54 / $549.54	Facility		$457.09	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $457.09	Professional		$194.98	$194.98	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $831.76	Professional		$208.93	$208.93	$831.76