Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $52.48 / $83.18	Facility		$10.00	$52.48	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $12.88	Professional		$7.08	$8.91	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $29.51	Facility		$12.02	$25.70	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $16.22	Facility		$11.48	$11.48	$16.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.95 / $34.67	Facility		$11.48	$19.95	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.80	Professional		$10.47	$10.47	$13.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Facility		$12.02	$17.38	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $11.48	Professional		$8.71	$10.47	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.80 / $13.80	Facility		$11.48	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $11.48	Professional		$4.79	$4.79	$11.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $20.89	Professional		$5.25	$5.25	$20.89