Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.02 / $67.61	Facility		$22.91	$38.02	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $70.79	Professional		$22.39	$28.84	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $37.15	Professional		$14.79	$25.12	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $77.62	Facility		$22.91	$22.91	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $22.39 / $56.23	Professional		$2.69	$22.39	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.44 / $37.15	Facility		$22.39	$23.44	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $39.81 / $44.67	Facility		$23.44	$39.81	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $23.44	Professional		$19.05	$23.44	$23.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $37.15	Facility		$16.22	$19.50	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $22.39	Facility		$21.38	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $25.12	Professional		$20.89	$23.99	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $30.20	Professional		$23.44	$23.44	$30.20