Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $128.82	Facility		$18.20	$33.88	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $27.54	Professional		$12.88	$15.85	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $33.11	Professional		$11.22	$11.22	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.69 / $69.18	Facility		$18.62	$41.69	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $23.44	Professional		$9.55	$9.55	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.05 / $75.86	Professional		$11.48	$19.05	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $25.12	Facility		$18.20	$18.20	$25.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $53.70	Facility		$18.20	$31.62	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $50.12	Facility		$19.05	$26.92	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $18.20	Professional		$13.49	$16.22	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $21.88	Facility		$18.20	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.12 / $20.42	Professional		$7.59	$9.12	$20.42