Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.11 / $123.03	Facility		$14.45	$33.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $48.98	Professional		$8.91	$12.88	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.36 / $42.66	Facility		$14.13	$32.36	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.49 / $21.88	Professional		$7.59	$15.49	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $64.57	Professional		$9.33	$12.88	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $27.54	Facility		$14.45	$14.45	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.70 / $43.65	Facility		$14.45	$25.70	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $17.38	Professional		$13.18	$13.18	$17.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $39.81	Facility		$15.49	$21.88	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $14.45	Professional		$10.96	$13.18	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $17.38	Facility		$14.45	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.31 / $15.14	Professional		$6.17	$6.31	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $26.30	Professional		$6.61	$6.61	$26.30