Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $7,585.78 / $19,498.45	Facility		$33.11	$7,585.78	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $6,025.60	Professional		$30.20	$33.11	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Facility		$24.55	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $60.26	Facility		$28.84	$33.11	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $100.00	Facility		$28.84	$57.54	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $46.77	Professional		$30.90	$46.77	$46.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $107.15	Facility		$33.11	$50.12	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $44.67	Professional		$30.20	$42.66	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Professional		$30.20	$30.20	$38.90