Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $173.78	Facility		$28.18	$54.95	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $57.54	Professional		$19.95	$26.92	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $63.10 / $95.50	Facility		$30.90	$63.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $58.88	Professional		$18.62	$34.67	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $64.57	Professional		$19.05	$26.30	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Facility		$29.51	$29.51	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $89.13	Facility		$29.51	$52.48	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Facility		$30.90	$44.67	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $29.51	Professional		$22.39	$26.92	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $35.48	Facility		$29.51	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $33.11	Professional		$12.59	$14.79	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Professional		$13.49	$13.49	$53.70