Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $194.98	Facility		$18.20	$36.31	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $38.02	Professional		$10.96	$15.14	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $41.69 / $57.54	Facility		$11.75	$41.69	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.88 / $33.88	Professional		$10.47	$21.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $64.57	Professional		$12.59	$17.38	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $37.15	Facility		$19.50	$19.50	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $58.88	Facility		$19.50	$34.67	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Professional		$17.78	$17.78	$23.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $53.70	Facility		$20.42	$29.51	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $19.50	Professional		$14.79	$17.78	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $23.44	Facility		$19.50	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $21.88	Professional		$8.32	$9.55	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $35.48	Professional		$8.91	$8.91	$35.48