Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $74.13 / $295.12	Facility		$21.88	$74.13	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $69.18	Professional		$10.00	$15.14	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $46.77	Facility		$15.49	$35.48	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $23.99	Professional		$8.32	$16.98	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $64.57	Professional		$10.23	$14.13	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $28.84	Facility		$16.22	$16.22	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.18 / $47.86	Facility		$16.22	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Professional		$14.45	$14.45	$19.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $44.67	Facility		$16.98	$23.99	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $16.22	Professional		$12.02	$14.45	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $19.50	Facility		$16.22	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.92 / $16.98	Professional		$6.76	$6.92	$16.98