Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $81.28 / $181.97	Facility		$16.98	$81.28	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.89	Professional		$12.02	$14.13	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $46.77	Facility		$18.62	$39.81	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.70	Professional		$20.42	$20.42	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $31.62	Facility		$16.22	$19.95	$31.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $53.70	Facility		$18.20	$31.62	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $50.12	Facility		$19.05	$26.92	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $18.20	Professional		$13.49	$16.22	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $18.20	Professional		$7.59	$7.59	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $32.36	Professional		$8.13	$8.13	$32.36