Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $72.44 / $93.33	Facility		$34.67	$72.44	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $42.66	Professional		$36.31	$36.31	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $67.61	Facility		$34.67	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
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 $35.48 / $37.15 / $67.61	Facility		$35.48	$37.15	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $77.62	Facility		$26.30	$38.02	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $41.69	Professional		$35.48	$38.02	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.90 / $97.72	Facility		$33.88	$38.90	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $47.86	Professional		$36.31	$36.31	$47.86