Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $141.25	Facility		$33.11	$44.67	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $51.29	Professional		$15.85	$20.42	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $63.10	Facility		$22.91	$53.70	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $34.67	Professional		$12.30	$25.12	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $64.57	Professional		$15.49	$21.38	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Facility		$23.99	$23.99	$39.81
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 / $10.00 / $24.55	Professional		$10.00	$10.00	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $43.65	Professional		$10.72	$10.72	$43.65