Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $537.03	Facility		$245.47	$389.05	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $309.03	Professional		$223.87	$229.09	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $436.52	Facility		$213.80	$213.80	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $426.58	Facility		$223.87	$281.84	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $616.60	Facility		$199.53	$257.04	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $257.04	Professional		$218.78	$239.88	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $489.78	Facility		$223.87	$245.47	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Professional		$223.87	$223.87	$295.12