Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $134.90	Facility		$33.88	$74.13	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $66.07	Professional		$16.98	$21.38	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $44.67	Professional		$10.23	$16.60	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $51.29 / $77.62	Facility		$25.12	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $34.67	Professional		$15.14	$27.54	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $25.70	Professional		$15.49	$21.38	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $45.71	Facility		$23.99	$23.99	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $72.44	Facility		$23.99	$41.69	$72.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Professional		$21.88	$21.88	$28.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $36.31 / $66.07	Facility		$25.12	$36.31	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $23.99	Professional		$18.20	$21.88	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.84 / $28.84	Facility		$23.99	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $26.92	Professional		$10.00	$13.80	$26.92