Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $114.82	Facility		$26.92	$42.66	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.02	Professional		$14.13	$18.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $43.65 / $75.86	Facility		$20.42	$43.65	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $39.81	Professional		$12.30	$22.91	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $75.86	Professional		$19.50	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $43.65	Facility		$19.50	$19.50	$43.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $58.88	Facility		$19.50	$34.67	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Professional		$17.78	$17.78	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $53.70	Facility		$20.42	$29.51	$53.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $19.50	Professional		$14.79	$17.78	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $23.44	Facility		$19.50	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $23.44	Professional		$8.32	$11.75	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $35.48	Professional		$8.91	$8.91	$35.48