Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $83.18 / $186.21	Facility		$16.98	$83.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $21.88	Professional		$12.02	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $47.86	Facility		$19.50	$41.69	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Facility		$18.62	$18.62	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $56.23	Facility		$18.62	$32.36	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $22.39	Professional		$16.60	$16.60	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $48.98	Facility		$19.50	$28.18	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $18.62	Professional		$14.13	$16.60	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $22.39	Facility		$18.62	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $18.62	Professional		$7.76	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $33.88	Professional		$8.32	$8.32	$33.88