Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $57.54	Facility		$23.99	$23.99	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $23.99	Professional		$22.91	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $48.98	Facility		$24.55	$24.55	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $44.67	Facility		$20.89	$23.99	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $57.54	Facility		$19.50	$30.20	$57.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $66.07	Facility		$22.91	$27.54	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12