Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $169.82	Facility		$16.98	$39.81	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $33.11	Professional		$12.02	$15.14	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $53.70	Facility		$17.78	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $33.88	Professional		$10.47	$19.95	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $64.57	Professional		$10.96	$14.79	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $28.84	Facility		$16.98	$16.98	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $29.51 / $51.29	Facility		$16.98	$29.51	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.42	Professional		$15.14	$15.14	$20.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $46.77	Facility		$17.78	$25.70	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $16.98	Professional		$12.88	$15.14	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $20.42	Facility		$16.98	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $19.05	Professional		$7.08	$9.55	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $30.90	Professional		$7.59	$7.59	$30.90