Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $27.54 / $102.33	Facility		$14.79	$27.54	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.20	Professional		$10.00	$12.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $42.66	Facility		$15.49	$34.67	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $23.99	Professional		$8.32	$16.60	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $64.57	Professional		$10.00	$13.80	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $28.84	Facility		$15.49	$15.49	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $27.54 / $46.77	Facility		$15.49	$27.54	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.62	Professional		$14.13	$14.13	$18.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $42.66	Facility		$16.22	$23.44	$42.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $15.49	Professional		$11.75	$14.13	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $18.62	Facility		$15.49	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.92 / $16.60	Professional		$6.61	$6.92	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $28.18	Professional		$7.08	$7.08	$28.18