Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $93.33	Facility		$21.88	$30.20	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $30.90	Professional		$8.91	$12.88	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $46.77	Facility		$16.60	$35.48	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.38 / $26.30	Professional		$8.51	$17.38	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $32.36 / $75.86	Professional		$10.23	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $23.99	Facility		$15.85	$15.85	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $47.86	Facility		$15.85	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Professional		$14.45	$14.45	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $43.65	Facility		$16.98	$23.99	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $15.85	Professional		$12.02	$14.45	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $19.05	Facility		$15.85	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.59 / $17.78	Professional		$6.76	$7.59	$17.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $28.84	Professional		$7.24	$7.24	$28.84