Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $154.88	Facility		$21.38	$36.31	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $102.33	Professional		$12.02	$18.20	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $34.67 / $56.23	Facility		$16.22	$34.67	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $29.51	Professional		$9.55	$17.78	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $75.86	Professional		$15.49	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $29.51	Facility		$15.49	$15.49	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.92 / $46.77	Facility		$15.49	$26.92	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.62	Professional		$13.80	$13.80	$18.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $42.66	Facility		$16.22	$23.44	$42.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $15.49	Professional		$11.75	$13.80	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $18.62	Facility		$15.49	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $21.88	Professional		$9.33	$12.59	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $28.18	Professional		$6.92	$6.92	$28.18