Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $107.15 / $309.03	Facility		$36.31	$107.15	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $75.86	Professional		$28.84	$34.67	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $123.03	Facility		$39.81	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $77.62	Professional		$23.99	$44.67	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $64.57	Professional		$24.55	$33.88	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $72.44	Facility		$38.90	$38.90	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $114.82	Facility		$38.90	$67.61	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $107.15	Facility		$40.74	$57.54	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $38.90	Professional		$28.84	$34.67	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $46.77	Facility		$38.90	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $43.65	Professional		$16.22	$21.38	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $69.18	Professional		$17.38	$17.38	$69.18