Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $190.55	Facility		$89.13	$151.36	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $389.05	Professional		$81.28	$91.20	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $151.36	Facility		$53.70	$114.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $131.83	Professional		$91.20	$104.71	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $131.83 / $239.88	Facility		$51.29	$131.83	$239.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $295.12	Facility		$104.71	$154.88	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $354.81	Facility		$147.91	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $26.92	Professional		$14.79	$16.22	$26.92