Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $169.82	Facility		$25.70	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $61.66	Professional		$20.89	$24.55	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.05	Professional		$16.22	$16.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $87.10	Facility		$23.99	$57.54	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $53.70	Professional		$16.98	$31.62	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $64.57	Professional		$17.38	$23.99	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $47.86 / $81.28	Facility		$26.92	$47.86	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Professional		$24.55	$24.55	$32.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $40.74 / $74.13	Facility		$28.84	$40.74	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $26.92	Professional		$20.42	$24.55	$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 $11.48 / $15.49 / $30.20	Professional		$11.48	$15.49	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $48.98	Professional		$12.30	$12.30	$48.98