Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $95.50	Facility		$22.39	$35.48	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $32.36	Professional		$12.02	$15.14	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.31 / $52.48	Facility		$17.38	$36.31	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.05 / $33.11	Professional		$10.47	$19.05	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $64.57	Professional		$10.47	$14.45	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $36.31	Facility		$16.60	$16.60	$36.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $50.12	Facility		$16.60	$28.84	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Professional		$14.79	$14.79	$19.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $45.71	Facility		$17.38	$24.55	$45.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $16.60	Professional		$12.30	$14.79	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $19.95	Facility		$16.60	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $19.95	Professional		$6.92	$9.33	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $29.51	Professional		$7.41	$7.41	$29.51