Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $77.62 / $186.21	Facility		$15.49	$77.62	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $93.33	Professional		$11.22	$13.80	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.47 / $27.54	Professional		$9.12	$10.47	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $53.70	Facility		$15.49	$33.11	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $30.20	Professional		$9.55	$17.38	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $15.85	Professional		$9.55	$13.18	$15.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $44.67	Facility		$15.14	$26.30	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $18.20	Professional		$13.49	$13.49	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $41.69	Facility		$15.85	$22.39	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $15.14	Professional		$11.22	$13.49	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $20.89	Professional		$9.12	$12.30	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $26.92	Professional		$6.76	$6.76	$26.92