Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $39.81	Facility		$25.70	$25.70	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $131.83	Professional		$39.81	$51.29	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $144.54	Facility		$43.65	$43.65	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $38.02 / $95.50	Professional		$2.69	$38.02	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $57.54	Facility		$46.77	$56.23	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $46.77	Professional		$38.02	$46.77	$46.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $47.86	Professional		$39.81	$42.66	$47.86