Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $114.82	Facility		$26.92	$37.15	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $38.02	Professional		$12.88	$15.85	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $57.54	Facility		$20.42	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.89 / $31.62	Professional		$10.47	$20.89	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $64.57	Professional		$12.59	$17.38	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Facility		$19.95	$19.95	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $58.88	Facility		$19.95	$34.67	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Professional		$17.78	$17.78	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $54.95	Facility		$20.89	$29.51	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $19.95	Professional		$14.79	$17.78	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Facility		$19.95	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.12 / $22.39	Professional		$8.32	$9.12	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $35.48	Professional		$8.91	$8.91	$35.48