Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $851.14	Facility		$144.54	$229.09	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $229.09	Professional		$107.15	$144.54	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $446.68	Facility		$158.49	$338.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $218.78	Professional		$77.62	$162.18	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $288.40	Facility		$154.88	$154.88	$288.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $457.09	Facility		$154.88	$269.15	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $186.21	Professional		$138.04	$138.04	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $426.58	Facility		$162.18	$229.09	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $154.88	Professional		$114.82	$138.04	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $186.21	Facility		$154.88	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $154.88	Professional		$64.57	$64.57	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $275.42	Professional		$69.18	$69.18	$275.42