Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $141.25	Facility		$38.02	$66.07	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $208.93	Professional		$64.57	$83.18	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $229.09	Facility		$70.79	$70.79	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $50.12 / $147.91	Professional		$2.69	$50.12	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $74.13	Professional		$60.26	$74.13	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $79.43	Professional		$64.57	$74.13	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66