Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $380.19 / $831.76	Facility		$77.62	$380.19	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $67.61 / $81.28	Professional		$7.08	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $213.80	Facility		$87.10	$186.21	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $147.91	Facility		$75.86	$91.20	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $251.19	Facility		$83.18	$147.91	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Professional		$75.86	$75.86	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $223.87	Facility		$87.10	$125.89	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $83.18	Professional		$63.10	$75.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $100.00	Facility		$83.18	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $83.18	Professional		$35.48	$35.48	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $151.36	Professional		$38.02	$38.02	$151.36