Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $44.67	Facility		$37.15	$41.69	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Facility		$46.77	$46.77	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $114.82	Professional		$48.98	$83.18	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $208.93	Facility		$81.28	$109.65	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $102.33	Professional		$50.12	$70.79	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $245.47	Facility		$102.33	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $100.00	Professional		$36.31	$50.12	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $79.43	Professional		$41.69	$56.23	$79.43