Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $89.13 / $371.54	Facility		$22.91	$89.13	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $89.13	Professional		$16.98	$17.78	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $52.48 / $70.79	Facility		$24.55	$52.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $27.54 / $39.81	Professional		$12.59	$27.54	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $64.57	Professional		$15.14	$20.89	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $39.81	Facility		$23.44	$23.44	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.69 / $70.79	Facility		$23.44	$41.69	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.18	Professional		$21.38	$21.38	$28.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $35.48 / $64.57	Facility		$24.55	$35.48	$64.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $23.44	Professional		$17.78	$21.38	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $28.18	Facility		$23.44	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $26.30	Professional		$10.00	$11.22	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $42.66	Professional		$10.72	$10.72	$42.66