Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $181.97	Facility		$42.66	$70.79	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $60.26	Professional		$19.95	$25.12	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $91.20	Facility		$30.90	$69.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $46.77	Professional		$15.85	$35.48	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $75.86	Professional		$30.90	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $58.88	Facility		$30.90	$30.90	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $53.70 / $93.33	Facility		$30.90	$53.70	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $85.11	Facility		$32.36	$46.77	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $30.90	Professional		$22.91	$27.54	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $37.15	Facility		$30.90	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $33.88	Professional		$12.88	$13.18	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $54.95	Professional		$13.80	$13.80	$54.95