Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $58.88 / $138.04	Facility		$18.20	$58.88	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $79.43	Professional		$13.80	$16.60	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $33.88	Professional		$11.22	$11.22	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $39.81 / $58.88	Facility		$19.05	$39.81	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $37.15	Professional		$11.75	$23.99	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $19.50	Professional		$11.75	$16.22	$19.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $39.81	Facility		$18.62	$18.62	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $54.95	Facility		$18.62	$32.36	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $22.39	Professional		$16.60	$16.60	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $51.29	Facility		$19.50	$27.54	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $18.62	Professional		$13.80	$16.60	$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 / $9.33 / $20.89	Professional		$7.76	$9.33	$20.89