Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $436.52	Facility		$186.21	$186.21	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $190.55	Professional		$173.78	$181.97	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $186.21 / $371.54	Facility		$25.12	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $162.18 / $173.78	Facility		$141.25	$162.18	$173.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $181.97 / $389.05	Facility		$131.83	$181.97	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $199.53	Professional		$169.82	$186.21	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $331.13	Facility		$114.82	$141.25	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97