Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $63.10 / $407.38	Facility		$20.42	$63.10	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.05 / $134.90	Professional		$10.72	$19.05	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $38.90 / $53.70	Facility		$11.48	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $18.20 / $29.51	Professional		$7.76	$18.20	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $64.57	Professional		$13.18	$18.20	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Facility		$20.42	$20.42	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $61.66	Facility		$20.42	$35.48	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Professional		$18.62	$18.62	$24.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $56.23	Facility		$21.38	$30.90	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $20.42	Professional		$15.49	$18.62	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $24.55	Facility		$20.42	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $20.42	Professional		$5.25	$8.51	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $37.15	Professional		$9.12	$9.12	$37.15