Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $346.74	Facility		$186.21	$275.42	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Professional		$186.21	$186.21	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $707.95	Facility		$204.17	$204.17	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $213.80	Facility		$177.83	$213.80	$213.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $213.80	Professional		$169.82	$213.80	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $194.98	Facility		$120.23	$131.83	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $218.78	Professional		$181.97	$204.17	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49