Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $64.57 / $691.83	Facility		$12.59	$64.57	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.08 / $53.70	Professional		$6.31	$7.08	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.25 / $15.49	Professional		$3.63	$5.25	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $27.54	Facility		$8.71	$18.62	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.77 / $16.98	Professional		$5.25	$9.77	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $8.91	Professional		$5.37	$7.41	$8.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $18.62	Facility		$8.51	$8.51	$18.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.79 / $25.12	Facility		$8.51	$14.79	$25.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.23	Professional		$7.59	$7.59	$10.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.59 / $23.44	Facility		$8.91	$12.59	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $8.51	Professional		$6.31	$7.59	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.23 / $10.23	Facility		$8.51	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.27 / $9.55	Professional		$3.55	$4.27	$9.55