Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $83.18 / $181.97	Facility		$16.98	$83.18	$181.97
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 $19.05 / $40.74 / $47.86	Facility		$19.05	$40.74	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $26.30	Professional		$20.89	$20.89	$26.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $25.70	Facility		$18.20	$18.20	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $54.95	Facility		$18.20	$32.36	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Professional		$16.60	$16.60	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $50.12	Facility		$19.50	$27.54	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $18.20	Professional		$13.80	$16.60	$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 $7.76 / $7.76 / $18.20	Professional		$7.76	$7.76	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $33.11	Professional		$8.32	$8.32	$33.11