Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $38.90 / $162.18	Facility		$8.32	$38.90	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $57.54	Professional		$6.46	$7.94	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.03 / $16.22	Professional		$5.25	$6.03	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.05 / $28.18	Facility		$9.12	$19.05	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $17.38	Professional		$5.50	$10.00	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $9.12	Professional		$5.50	$7.59	$9.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.05	Facility		$8.71	$8.71	$19.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.14 / $26.30	Facility		$8.71	$15.14	$26.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $10.47	Professional		$7.76	$7.76	$10.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $23.99	Facility		$9.12	$12.88	$23.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $8.71	Professional		$6.46	$7.76	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.47 / $10.47	Facility		$8.71	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.37 / $9.77	Professional		$3.63	$4.37	$9.77