Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $81.28 / $245.47	Facility		$13.80	$81.28	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $81.28	Professional		$8.32	$11.48	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.41	Professional		$7.08	$7.08	$7.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $38.02	Facility		$12.02	$25.70	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.18 / $21.38	Professional		$6.76	$13.18	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $64.57	Professional		$7.41	$10.23	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $20.89	Facility		$11.48	$11.48	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.42 / $34.67	Facility		$11.48	$20.42	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.80	Professional		$10.47	$10.47	$13.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Facility		$12.02	$17.38	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $11.48	Professional		$8.71	$10.47	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.80 / $13.80	Facility		$11.48	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.17 / $12.88	Professional		$4.90	$6.17	$12.88