Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $35.48	Facility		$16.60	$29.51	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $41.69	Professional		$16.98	$16.98	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $30.90	Facility		$16.22	$16.22	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.89	Professional		$16.98	$16.98	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.60 / $24.55	Facility		$14.79	$16.60	$24.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $42.66	Facility		$14.13	$18.20	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $19.05	Professional		$16.22	$17.38	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $43.65	Facility		$14.79	$17.78	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Professional		$16.98	$16.98	$22.39