Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $120.23	Facility		$28.18	$43.65	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $38.90	Professional		$15.14	$18.20	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $45.71 / $66.07	Facility		$21.38	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $40.74	Professional		$12.88	$23.44	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $64.57	Professional		$13.18	$17.78	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $44.67	Facility		$20.42	$20.42	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $61.66	Facility		$20.42	$35.48	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Professional		$18.20	$18.20	$24.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $56.23	Facility		$21.38	$30.90	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $20.42	Professional		$15.49	$18.20	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $24.55	Facility		$20.42	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $23.99	Professional		$8.51	$11.75	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $37.15	Professional		$9.12	$9.12	$37.15