Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $52.48 / $102.33	Facility		$24.55	$52.48	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $54.95	Professional		$30.20	$33.88	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $95.50	Facility		$33.88	$33.88	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $7.08 / $50.12	Professional		$2.69	$7.08	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $66.07 / $100.00	Facility		$44.67	$66.07	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Professional		$28.84	$36.31	$36.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $97.72	Facility		$42.66	$51.29	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $32.36	Facility		$30.90	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $40.74	Professional		$33.88	$36.31	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $44.67	Professional		$33.88	$33.88	$44.67