Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $109.65 / $426.58	Facility		$45.71	$109.65	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $46.77	Professional		$43.65	$44.67	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $114.82	Facility		$46.77	$46.77	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
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 $27.54 / $27.54 / $57.54	Facility		$27.54	$27.54	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $46.77 / $114.82	Facility		$40.74	$46.77	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $50.12	Professional		$42.66	$46.77	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $117.49	Facility		$40.74	$51.29	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71