Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $288.40 / $645.65	Facility		$60.26	$288.40	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $77.62	Professional		$42.66	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $165.96	Facility		$66.07	$141.25	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Facility		$64.57	$64.57	$89.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $190.55	Facility		$64.57	$112.20	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Professional		$57.54	$57.54	$77.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $169.82	Facility		$67.61	$95.50	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $64.57	Professional		$47.86	$57.54	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $77.62	Facility		$64.57	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $64.57	Professional		$26.92	$26.92	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $114.82	Professional		$28.84	$28.84	$114.82