Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $776.25 / $1,737.80	Facility		$162.18	$776.25	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $208.93	Professional		$114.82	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $446.68	Facility		$181.97	$380.19	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Facility		$173.78	$173.78	$239.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $524.81	Facility		$173.78	$302.00	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $257.04 / $478.63	Facility		$181.97	$257.04	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $173.78	Professional		$147.91	$154.88	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $208.93	Facility		$173.78	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $173.78	Professional		$72.44	$72.44	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $309.03	Professional		$77.62	$77.62	$309.03