Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $131.83	Facility		$29.51	$50.12	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $97.72	Professional		$16.98	$20.42	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $81.28	Facility		$23.99	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $45.71	Professional		$14.13	$26.30	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $64.57	Professional		$14.45	$19.95	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $50.12	Facility		$22.91	$22.91	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $69.18	Facility		$22.91	$39.81	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Professional		$20.42	$20.42	$27.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $63.10	Facility		$23.99	$33.88	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $22.91	Professional		$16.98	$20.42	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $27.54	Facility		$22.91	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $25.70	Professional		$9.55	$13.18	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $40.74	Professional		$10.23	$10.23	$40.74