Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $32.36 / $83.18	Facility		$14.79	$32.36	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $28.18	Professional		$9.55	$12.88	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $30.90 / $46.77	Facility		$10.47	$30.90	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $29.51	Professional		$9.12	$16.98	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $64.57	Professional		$9.33	$12.88	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $32.36	Facility		$14.79	$14.79	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $25.70 / $43.65	Facility		$14.79	$25.70	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $17.78	Professional		$13.18	$13.18	$17.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $40.74	Facility		$15.49	$21.88	$40.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $14.79	Professional		$10.96	$13.18	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $17.78	Facility		$14.79	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.32 / $17.78	Professional		$6.17	$8.32	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $26.30	Professional		$6.61	$6.61	$26.30