Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $64.57 / $181.97	Facility		$18.20	$64.57	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $81.28	Professional		$12.02	$15.85	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $39.81 / $64.57	Facility		$18.62	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $36.31	Professional		$11.22	$20.42	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $64.57	Professional		$11.48	$15.85	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $37.15	Facility		$18.20	$18.20	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $53.70	Facility		$18.20	$31.62	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $50.12	Facility		$19.05	$26.92	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $18.20	Professional		$13.49	$16.22	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $20.42	Professional		$7.59	$10.23	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $32.36	Professional		$8.13	$8.13	$32.36