Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $158.49	Facility		$83.18	$131.83	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $95.50	Professional		$75.86	$79.43	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $117.49	Facility		$77.62	$79.43	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $223.87	Facility		$72.44	$93.33	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $91.20	Professional		$77.62	$83.18	$91.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $234.42	Facility		$81.28	$95.50	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $100.00	Professional		$75.86	$81.28	$100.00