Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $95.50	Facility		$22.39	$30.90	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $32.36	Professional		$10.00	$12.88	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $36.31 / $42.66	Facility		$15.49	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.38 / $23.99	Professional		$8.32	$17.38	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $64.57	Professional		$10.47	$14.45	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $28.84	Facility		$16.60	$16.60	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $48.98	Facility		$16.60	$28.84	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Professional		$14.79	$14.79	$19.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $44.67	Facility		$17.38	$24.55	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $16.60	Professional		$12.30	$14.79	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $19.50	Facility		$16.60	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $16.60	Professional		$6.92	$6.92	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $29.51	Professional		$7.41	$7.41	$29.51