Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $158.49	Facility		$67.61	$67.61	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $67.61	Professional		$63.10	$66.07	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $87.10	Facility		$67.61	$67.61	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Facility		$66.07	$66.07	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $72.44	Professional		$61.66	$67.61	$72.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $316.23 / $316.23	Professional		$66.07	$316.23	$316.23