Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $43.65 / $117.49	Facility		$27.54	$43.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.90	Professional		$14.13	$18.20	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $44.67 / $72.44	Facility		$20.89	$44.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $40.74	Professional		$12.59	$22.91	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $64.57	Professional		$12.88	$17.78	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Facility		$20.42	$20.42	$34.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $60.26	Facility		$20.42	$35.48	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $23.99	Professional		$18.20	$18.20	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $54.95	Facility		$21.38	$30.20	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $20.42	Professional		$15.14	$18.20	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $23.99	Facility		$20.42	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $22.39	Professional		$8.51	$10.72	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $36.31	Professional		$9.12	$9.12	$36.31