Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $50.12 / $138.04	Facility		$12.30	$50.12	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $41.69	Professional		$8.91	$12.59	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $19.95	Professional		$4.79	$7.94	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $38.90	Facility		$13.18	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $20.89	Professional		$7.24	$14.45	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $29.51	Professional		$9.77	$13.49	$29.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $21.88	Facility		$12.59	$12.59	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $38.02	Facility		$12.59	$21.88	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $15.14	Professional		$11.22	$11.22	$15.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $34.67	Facility		$13.18	$19.05	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $12.59	Professional		$9.33	$11.22	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $15.14	Facility		$12.59	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.31 / $14.13	Professional		$5.25	$6.31	$14.13