Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $48.98	Facility		$19.95	$19.95	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $23.99	Professional		$19.05	$19.95	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $117.49	Facility		$33.88	$33.88	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $50.12	Professional		$11.48	$28.18	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $32.36	Facility		$20.89	$23.99	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $40.74	Facility		$16.60	$19.95	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $21.88	Professional		$18.62	$20.42	$21.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $41.69	Facility		$14.45	$18.20	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50