Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $125.89	Facility		$24.55	$40.74	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $41.69	Professional		$11.22	$16.98	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $44.67 / $56.23	Facility		$15.49	$44.67	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $30.90	Professional		$10.96	$22.91	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.36 / $75.86	Professional		$13.80	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $40.74	Facility		$21.88	$21.88	$40.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $64.57	Facility		$21.88	$38.02	$64.57
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 / $32.36 / $60.26	Facility		$22.91	$32.36	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $21.88	Professional		$16.22	$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 $7.08 / $9.12 / $21.88	Professional		$7.08	$9.12	$21.88