Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.55 / $1,071.52	Facility		$1.86	$3.55	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.74 / $575.44	Professional		$1.00	$1.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.70 / $1.70	Facility		$1.62	$1.70	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.09	Professional		$1.70	$1.70	$2.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.04 / $3.09	Facility		$1.62	$2.04	$3.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.75 / $4.79	Facility		$1.51	$2.75	$4.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.69 / $2.69	Professional		$1.74	$2.69	$2.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.14 / $5.01	Facility		$1.74	$2.14	$5.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.24	Professional		$1.70	$1.70	$2.24