Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $77.62	Facility		$18.20	$28.18	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.12	Professional		$7.94	$10.96	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $42.66	Facility		$13.80	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $26.30	Professional		$8.13	$15.14	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $32.36 / $75.86	Professional		$8.51	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $22.91	Facility		$13.18	$13.18	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.91 / $39.81	Facility		$13.18	$22.91	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $15.85	Professional		$11.75	$11.75	$15.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $36.31	Facility		$13.80	$19.95	$36.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $13.18	Professional		$10.00	$11.75	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $15.85	Facility		$13.18	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $14.79	Professional		$5.50	$6.61	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $23.99	Professional		$5.89	$5.89	$23.99