Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $26.92	Professional		$19.05	$26.92	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $31.62	Professional		$12.30	$23.99	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $50.12	Professional		$44.67	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $47.86	Facility		$39.81	$47.86	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $63.10	Professional		$18.20	$31.62	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.23 / $23.99	Professional		$8.91	$10.23	$23.99