Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $186.21	Facility		$25.70	$56.23	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $169.82	Professional		$19.05	$22.91	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $81.28	Facility		$22.91	$53.70	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $50.12	Professional		$15.85	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $64.57	Professional		$16.22	$22.39	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $47.86	Facility		$25.70	$25.70	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $75.86	Facility		$25.70	$44.67	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Professional		$22.91	$22.91	$30.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $70.79	Facility		$26.92	$38.02	$70.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $25.70	Professional		$19.05	$22.91	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $30.90	Facility		$25.70	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $28.84	Professional		$10.72	$14.45	$28.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Professional		$11.48	$11.48	$45.71