Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $44.67 / $204.17	Facility		$19.50	$44.67	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $34.67	Professional		$14.13	$17.38	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $61.66	Facility		$19.95	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $38.90	Professional		$12.02	$22.39	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $64.57	Professional		$12.30	$16.98	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Facility		$19.50	$19.50	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.88 / $57.54	Facility		$19.50	$33.88	$57.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Professional		$17.38	$17.38	$23.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $53.70	Facility		$20.42	$28.84	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $19.50	Professional		$14.45	$17.38	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $23.44	Facility		$19.50	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $21.88	Professional		$8.13	$10.96	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $34.67	Professional		$8.71	$8.71	$34.67