Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $93.33	Facility		$21.88	$30.20	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $42.66	Facility		$15.49	$35.48	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $23.99	Professional		$8.32	$16.98	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $64.57	Professional		$10.23	$14.13	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $28.84	Facility		$15.85	$15.85	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $47.86	Facility		$15.85	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Professional		$14.45	$14.45	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $43.65	Facility		$16.98	$23.99	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $15.85	Professional		$12.02	$14.45	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $19.05	Facility		$15.85	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.92 / $16.60	Professional		$6.76	$6.92	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $28.84	Professional		$7.24	$7.24	$28.84