Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.20 / $36.31	Facility		$19.05	$30.20	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $25.70	Professional		$16.98	$17.78	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $40.74	Facility		$16.60	$16.60	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $21.38	Professional		$17.38	$17.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $39.81	Facility		$20.89	$26.30	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.12 / $61.66	Facility		$18.62	$25.12	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $21.88	Professional		$18.62	$19.95	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $48.98	Facility		$17.38	$19.50	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $22.91	Professional		$17.38	$17.38	$22.91