Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $97.72	Facility		$22.91	$36.31	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $32.36	Professional		$11.22	$15.14	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $37.15 / $53.70	Facility		$17.38	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $33.88	Professional		$10.47	$19.50	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $64.57	Professional		$10.72	$14.79	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $37.15	Facility		$16.98	$16.98	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $29.51 / $50.12	Facility		$16.98	$29.51	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.42	Professional		$15.14	$15.14	$20.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $46.77	Facility		$17.78	$25.12	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $16.98	Professional		$12.59	$15.14	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $20.42	Facility		$16.98	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $20.42	Professional		$7.08	$9.55	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $30.20	Professional		$7.59	$7.59	$30.20