Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $60.26	Facility		$23.99	$37.15	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $16.60 / $64.57	Professional		$3.02	$16.60	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $20.89 / $32.36	Professional		$8.71	$20.89	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $46.77	Facility		$26.92	$33.11	$46.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.91	Facility		$22.39	$22.39	$22.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $48.98	Professional		$22.91	$37.15	$48.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $380.19	Facility		$138.04	$199.53	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $44.67	Professional		$22.39	$32.36	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $489.78	Facility		$204.17	$269.15	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $42.66	Professional		$13.18	$17.78	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $33.88	Professional		$20.42	$23.99	$33.88