Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $302.00	Facility		$70.79	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $100.00	Professional		$27.54	$47.86	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $165.96	Facility		$53.70	$114.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $85.11	Professional		$28.18	$58.88	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $64.57	Professional		$33.11	$45.71	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $91.20	Facility		$51.29	$51.29	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $154.88	Facility		$51.29	$91.20	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $61.66	Professional		$46.77	$46.77	$61.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $141.25	Facility		$53.70	$77.62	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $51.29	Professional		$38.90	$46.77	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $61.66	Facility		$51.29	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $57.54	Professional		$21.88	$25.70	$57.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $93.33	Professional		$23.44	$23.44	$93.33