Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $724.44 / $1,584.89	Facility		$151.36	$724.44	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $190.55	Professional		$107.15	$125.89	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $416.87	Facility		$165.96	$354.81	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Facility		$158.49	$158.49	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $478.63	Facility		$158.49	$281.84	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $436.52	Facility		$169.82	$239.88	$436.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Professional		$134.90	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $190.55	Facility		$158.49	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $158.49	Professional		$67.61	$67.61	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $288.40	Professional		$72.44	$72.44	$288.40