Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $77.62	Facility		$18.20	$25.70	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $25.70	Professional		$9.33	$10.96	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $38.90	Facility		$13.80	$29.51	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.14 / $23.99	Professional		$7.41	$15.14	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $64.57	Professional		$8.51	$11.75	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $25.70	Facility		$13.49	$13.49	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.44 / $39.81	Facility		$13.49	$23.44	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.22	Professional		$12.02	$12.02	$16.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.95 / $37.15	Facility		$14.13	$19.95	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $13.49	Professional		$10.00	$12.02	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $16.22	Facility		$13.49	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.92 / $16.22	Professional		$5.62	$6.92	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $23.99	Professional		$6.03	$6.03	$23.99