Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $83.18	Facility		$19.95	$30.90	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $28.18	Professional		$7.94	$12.02	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $31.62 / $46.77	Facility		$15.14	$31.62	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $28.84	Professional		$8.91	$16.98	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $64.57	Professional		$9.12	$12.59	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $22.91	Facility		$14.45	$14.45	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.12 / $43.65	Facility		$14.45	$25.12	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.38	Professional		$12.88	$12.88	$17.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.38 / $39.81	Facility		$15.14	$21.38	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $14.45	Professional		$10.72	$12.88	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $17.38	Facility		$14.45	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $16.22	Professional		$6.03	$7.24	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $25.70	Professional		$6.46	$6.46	$25.70