Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $114.82 / $354.81	Facility		$27.54	$114.82	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $75.86	Professional		$25.70	$48.98	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $125.89 / $158.49	Facility		$15.49	$125.89	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $32.36 / $87.10	Professional		$10.23	$32.36	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $64.57	Professional		$38.90	$53.70	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $91.20	Facility		$60.26	$60.26	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $181.97	Facility		$60.26	$107.15	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $72.44	Professional		$54.95	$54.95	$72.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $165.96	Facility		$64.57	$91.20	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $60.26	Professional		$45.71	$54.95	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Facility		$60.26	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $25.70 / $60.26	Professional		$7.08	$25.70	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $109.65	Professional		$27.54	$27.54	$109.65