Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $70.79 / $213.80	Facility		$23.99	$70.79	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $38.02	Professional		$12.02	$14.13	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $41.69 / $54.95	Facility		$17.78	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.95 / $27.54	Professional		$9.55	$19.95	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $64.57	Professional		$12.02	$16.22	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $38.90	Facility		$18.62	$18.62	$38.90
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