Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $131.83	Facility		$30.90	$48.98	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $42.66	Professional		$16.60	$19.95	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $50.12 / $72.44	Facility		$23.44	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $44.67	Professional		$14.13	$26.30	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $64.57	Professional		$14.45	$19.95	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $42.66	Facility		$22.39	$22.39	$42.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $67.61	Facility		$22.39	$39.81	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $26.92	Professional		$20.42	$20.42	$26.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $61.66	Facility		$23.44	$33.88	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $22.39	Professional		$16.98	$20.42	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.92 / $26.92	Facility		$22.39	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $26.92	Professional		$9.55	$12.88	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $40.74	Professional		$10.23	$10.23	$40.74