Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $457.09	Facility		$69.18	$128.82	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $346.74	Professional		$47.86	$63.10	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $158.49 / $204.17	Facility		$72.44	$158.49	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $100.00	Professional		$35.48	$79.43	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $131.83	Facility		$69.18	$69.18	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $208.93	Facility		$69.18	$123.03	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $83.18	Professional		$63.10	$63.10	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $190.55	Facility		$72.44	$104.71	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $69.18	Professional		$52.48	$63.10	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $83.18	Facility		$69.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $69.18	Professional		$29.51	$29.51	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $125.89	Professional		$31.62	$31.62	$125.89