Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $56.23 / $123.03	Facility		$15.49	$56.23	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.38 / $61.66	Professional		$10.96	$21.38	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $23.44	Professional		$8.32	$15.14	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $36.31 / $42.66	Facility		$15.49	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.38 / $23.99	Professional		$8.32	$17.38	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $17.38	Professional		$10.47	$14.45	$17.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $28.84	Facility		$16.60	$16.60	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $50.12	Facility		$16.60	$28.84	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Professional		$14.79	$14.79	$19.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $45.71	Facility		$17.38	$24.55	$45.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $16.60	Professional		$12.30	$14.79	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $19.95	Facility		$16.60	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.00 / $16.98	Professional		$9.77	$10.00	$16.98