Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $117.49	Facility		$48.98	$61.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $51.29	Professional		$45.71	$47.86	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $158.49	Facility		$50.12	$50.12	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
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 $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Facility		$48.98	$48.98	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $52.48	Professional		$44.67	$50.12	$52.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98