Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $42.66	Facility		$20.42	$35.48	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $28.18	Professional		$19.95	$20.89	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $38.90	Facility		$19.50	$19.50	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.12	Professional		$20.42	$20.42	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.95 / $30.90	Facility		$18.62	$19.95	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $50.12	Facility		$16.60	$21.38	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.89 / $22.91	Professional		$19.50	$20.89	$22.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $41.69	Facility		$15.49	$22.39	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $26.92	Professional		$20.42	$20.42	$26.92