Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $323.59	Facility		$199.53	$199.53	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $309.03	Professional		$199.53	$263.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $575.44	Facility		$478.63	$575.44	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $870.96	Professional		$398.11	$630.96	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $812.83	Facility		$363.08	$436.52	$812.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $758.58	Professional		$389.05	$562.34	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $741.31	Professional		$281.84	$331.13	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $616.60	Professional		$371.54	$436.52	$616.60