Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $34.67 / $123.03	Facility		$18.62	$34.67	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $22.91	Professional		$12.02	$14.13	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $47.86	Facility		$19.05	$38.02	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.38 / $26.92	Professional		$9.77	$21.38	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $28.18	Facility		$18.62	$18.62	$28.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $56.23	Facility		$18.62	$32.36	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $22.39	Professional		$16.60	$16.60	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $51.29	Facility		$19.50	$28.18	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $18.62	Professional		$14.13	$16.60	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $22.39	Facility		$18.62	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $18.62	Professional		$7.76	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $33.88	Professional		$8.32	$8.32	$33.88