Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $51.29	Facility		$26.92	$42.66	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $95.50	Professional		$20.89	$22.39	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $56.23	Facility		$28.18	$28.18	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $39.81	Facility		$21.38	$26.30	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $58.88	Facility		$19.05	$28.18	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $30.20	Professional		$25.70	$28.18	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $61.66	Facility		$21.38	$26.30	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $27.54	Professional		$21.38	$21.38	$27.54