Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.44 / $31.62	Professional		$12.30	$23.44	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $47.86	Facility		$39.81	$47.86	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $63.10	Professional		$18.20	$31.62	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $23.99	Professional		$10.00	$10.23	$23.99