Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $165.96 / $977.24	Facility		$36.31	$165.96	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $36.31	Professional		$18.20	$23.99	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $2.29 / $58.88	Facility		$0.93	$2.29	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $42.66	Professional		$12.30	$26.92	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $85.11	Professional		$39.81	$50.12	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $44.67 / $61.66	Facility		$37.15	$44.67	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $41.69	Facility		$29.51	$29.51	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $74.13	Professional		$29.51	$57.54	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $933.25	Facility		$316.23	$478.63	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $69.18	Professional		$16.98	$33.88	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Facility		$478.63	$630.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $33.11	Professional		$9.12	$13.80	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $26.92	Professional		$6.76	$6.76	$26.92