Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $58.88 / $85.11	Facility		$28.18	$58.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $42.66	Professional		$33.11	$33.88	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $51.29	Facility		$31.62	$31.62	$51.29
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 $36.31 / $42.66 / $69.18	Facility		$36.31	$42.66	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $77.62	Facility		$47.86	$47.86	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $47.86	Professional		$30.90	$47.86	$47.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
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 Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Professional		$33.88	$33.88	$43.65