Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $85.11	Facility		$37.15	$58.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $50.12	Professional		$33.11	$33.88	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Facility		$32.36	$32.36	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $41.69	Professional		$33.88	$33.88	$41.69
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 $25.70 / $29.51 / $60.26	Facility		$25.70	$29.51	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $93.33	Facility		$29.51	$38.90	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $36.31	Professional		$30.20	$36.31	$36.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $97.72	Facility		$33.88	$40.74	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.02	Professional		$33.88	$33.88	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Professional		$33.88	$33.88	$43.65