Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $31.62 / $72.44	Facility		$11.22	$31.62	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $48.98	Professional		$8.91	$10.96	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $8.32	Professional		$7.24	$7.24	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $38.90	Facility		$12.59	$26.92	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.45 / $22.91	Professional		$7.41	$14.45	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.11 / $75.86	Professional		$12.02	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $25.70	Facility		$12.02	$12.02	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $36.31	Facility		$12.02	$20.89	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$14.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $33.11	Facility		$12.59	$18.20	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $12.02	Professional		$9.12	$10.96	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Facility		$12.02	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $14.45	Professional		$5.01	$6.92	$14.45