Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $213.80	Facility		$50.12	$83.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $83.18	Professional		$26.92	$33.88	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $117.49	Facility		$38.02	$81.28	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $112.20	Professional		$22.91	$47.86	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $64.57	Professional		$23.44	$32.36	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Facility		$36.31	$36.31	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $112.20	Facility		$36.31	$64.57	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $100.00	Facility		$38.02	$54.95	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $36.31	Professional		$27.54	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $43.65	Facility		$36.31	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $40.74	Professional		$15.49	$21.88	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $66.07	Professional		$16.60	$16.60	$66.07