Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $100.00 / $323.59	Facility		$32.36	$100.00	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $144.54	Professional		$17.38	$30.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $72.44 / $104.71	Facility		$33.88	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $107.15	Professional		$20.42	$40.74	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $64.57	Professional		$20.89	$28.84	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $57.54	Facility		$32.36	$32.36	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $57.54 / $97.72	Facility		$32.36	$57.54	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.90	Professional		$29.51	$29.51	$38.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $89.13	Facility		$33.88	$48.98	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $32.36	Professional		$24.55	$29.51	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $38.90	Facility		$32.36	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $36.31	Professional		$13.80	$17.78	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $58.88	Professional		$14.79	$14.79	$58.88