Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $128.82	Facility		$30.20	$40.74	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $41.69	Professional		$14.13	$18.20	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $48.98 / $63.10	Facility		$22.91	$48.98	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $34.67	Professional		$11.48	$23.44	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $64.57	Professional		$14.13	$19.05	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $39.81	Facility		$21.88	$21.88	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $66.07	Facility		$21.88	$38.02	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.30	Professional		$19.50	$19.50	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $60.26	Facility		$22.91	$33.11	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $21.88	Professional		$16.60	$19.50	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $26.30	Facility		$21.88	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $24.55	Professional		$9.12	$10.00	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $39.81	Professional		$9.77	$9.77	$39.81