Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $40.74 / $128.82	Facility		$15.49	$40.74	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $33.11	Professional		$10.00	$13.18	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.11 / $50.12	Facility		$16.22	$33.11	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $30.90	Professional		$9.55	$17.78	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $64.57	Professional		$10.00	$13.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $46.77	Facility		$15.49	$26.92	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.62	Professional		$13.80	$13.80	$18.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $42.66	Facility		$16.22	$23.44	$42.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $15.49	Professional		$11.75	$13.80	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $18.62	Facility		$15.49	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $17.38	Professional		$6.46	$7.76	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $28.18	Professional		$6.92	$6.92	$28.18