Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $61.66 / $138.04	Facility		$12.02	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.85	Professional		$8.91	$10.00	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.20 / $35.48	Facility		$14.45	$30.20	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $23.99	Facility		$12.30	$15.14	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $41.69	Facility		$13.80	$23.99	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $16.60	Professional		$12.30	$12.30	$16.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $38.02	Facility		$14.45	$20.42	$38.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $13.80	Professional		$10.23	$12.30	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Facility		$13.80	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.31 / $13.80	Professional		$5.75	$6.31	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $24.55	Professional		$6.17	$6.17	$24.55