Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $158.49 / $616.60	Facility		$43.65	$158.49	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $42.66	Professional		$20.89	$28.18	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.69 / $69.18	Facility		$1.12	$2.69	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $50.12	Professional		$13.80	$31.62	$50.12
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 $44.67 / $53.70 / $53.70	Facility		$44.67	$53.70	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Facility		$35.48	$35.48	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $89.13	Professional		$35.48	$67.61	$89.13
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 $19.95 / $39.81 / $81.28	Professional		$19.95	$39.81	$81.28
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 $10.47 / $16.22 / $38.90	Professional		$10.47	$16.22	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $44.67	Professional		$11.22	$11.22	$44.67