Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.20 / $81.28	Facility		$19.05	$30.20	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $37.15	Professional		$10.00	$12.02	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.90 / $44.67	Facility		$14.45	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.22 / $27.54	Professional		$8.71	$16.22	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $64.57	Professional		$8.91	$12.30	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.90	Facility		$13.80	$13.80	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $41.69	Facility		$13.80	$24.55	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $16.60	Professional		$12.59	$12.59	$16.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.89 / $38.02	Facility		$14.45	$20.89	$38.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $13.80	Professional		$10.47	$12.59	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Facility		$13.80	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $15.49	Professional		$5.89	$6.92	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $25.12	Professional		$6.31	$6.31	$25.12