Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $239.88	Facility		$22.39	$50.12	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $43.65	Professional		$12.02	$15.14	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $36.31 / $52.48	Facility		$16.98	$36.31	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.05 / $32.36	Professional		$10.23	$19.05	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $64.57	Professional		$10.47	$14.45	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $36.31	Facility		$16.22	$16.22	$36.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.84 / $48.98	Facility		$16.22	$28.84	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Professional		$14.79	$14.79	$19.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $24.55 / $44.67	Facility		$16.98	$24.55	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $16.22	Professional		$12.30	$14.79	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $19.50	Facility		$16.22	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.13 / $18.20	Professional		$6.92	$8.13	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $29.51	Professional		$7.41	$7.41	$29.51