Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $870.96 / $2,454.71	Facility		$181.97	$870.96	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $234.42	Professional		$134.90	$165.96	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $501.19	Facility		$199.53	$426.58	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Professional		$281.84	$281.84	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $416.87	Facility		$223.87	$269.15	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $575.44	Facility		$194.98	$389.05	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $281.84	Professional		$173.78	$173.78	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $676.08	Facility		$257.04	$371.54	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $245.47	Professional		$186.21	$223.87	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $295.12	Facility		$245.47	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $234.42	Professional		$81.28	$87.10	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $446.68	Professional		$112.20	$112.20	$446.68