Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $158.49	Facility		$35.48	$50.12	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $52.48	Professional		$15.85	$21.88	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $60.26 / $69.18	Facility		$21.88	$60.26	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $38.90	Professional		$13.80	$28.18	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $64.57	Professional		$17.38	$23.44	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $40.74	Facility		$26.92	$26.92	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $81.28	Facility		$26.92	$46.77	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Professional		$23.99	$23.99	$32.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $40.74 / $74.13	Facility		$28.18	$40.74	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $26.92	Professional		$19.95	$23.99	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $32.36	Facility		$26.92	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $26.92	Professional		$10.00	$11.22	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $47.86	Professional		$12.02	$12.02	$47.86