Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.92 / $165.96	Facility		$11.22	$26.92	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $72.44	Professional		$7.94	$10.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $38.90	Facility		$12.02	$25.70	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.18 / $22.91	Professional		$7.08	$13.18	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $64.57	Professional		$7.41	$10.00	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $19.50	Facility		$11.48	$11.48	$19.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.95 / $34.67	Facility		$11.48	$19.95	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $13.80	Professional		$10.23	$10.23	$13.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Facility		$12.02	$17.38	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $11.48	Professional		$8.51	$10.23	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.80 / $13.80	Facility		$11.48	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $12.88	Professional		$4.79	$5.75	$12.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $20.42	Professional		$5.13	$5.13	$20.42