Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $275.42	Facility		$75.86	$104.71	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $199.53	Professional		$70.79	$89.13	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $102.33	Professional		$46.77	$57.54	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $154.88	Facility		$77.62	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $123.03	Facility		$70.79	$70.79	$123.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $218.78	Facility		$87.10	$141.25	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $83.18	Professional		$66.07	$83.18	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $199.53	Facility		$87.10	$104.71	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $81.28	Facility		$75.86	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $89.13	Professional		$72.44	$81.28	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $97.72	Professional		$67.61	$67.61	$97.72