Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $107.15	Facility		$25.12	$33.88	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $34.67	Professional		$12.02	$14.13	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.74 / $47.86	Facility		$16.98	$40.74	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.50 / $26.30	Professional		$9.33	$19.50	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $64.57	Professional		$11.75	$15.85	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $27.54	Facility		$18.20	$18.20	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $54.95	Facility		$18.20	$31.62	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Professional		$16.60	$16.60	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $50.12	Facility		$19.05	$27.54	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $18.20	Professional		$13.80	$16.60	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $18.62	Professional		$7.59	$7.59	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $33.11	Professional		$8.13	$8.13	$33.11