Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $123.03	Facility		$18.62	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $44.67	Professional		$12.88	$16.98	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $60.26	Facility		$19.50	$41.69	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $37.15	Professional		$11.75	$21.38	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $64.57	Professional		$12.02	$16.60	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $40.74	Facility		$18.62	$18.62	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $56.23	Facility		$18.62	$32.36	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Professional		$16.98	$16.98	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $51.29	Facility		$19.50	$28.18	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $18.62	Professional		$14.13	$16.98	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $22.39	Facility		$18.62	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $22.39	Professional		$7.76	$10.72	$22.39