Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $57.54 / $138.04	Facility		$14.79	$57.54	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $58.88	Professional		$8.91	$12.02	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $30.20 / $39.81	Facility		$10.96	$30.20	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $15.85 / $19.50	Professional		$6.92	$15.85	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $14.45	Professional		$8.71	$12.02	$14.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $20.42	Facility		$13.80	$13.80	$20.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $40.74	Facility		$13.80	$23.99	$40.74
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 $4.90 / $5.75 / $15.49	Professional		$4.90	$5.75	$15.49