Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $21.88 / $64.57	Facility		$3.09	$21.88	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.24 / $15.14	Professional		$1.95	$2.24	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $3.16 / $4.07	Professional		$1.12	$3.16	$4.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.01 / $8.13	Facility		$2.34	$5.01	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.51 / $4.47	Professional		$1.45	$2.51	$4.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.00 / $3.98	Professional		$1.45	$2.00	$3.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $3.47	Facility		$2.24	$2.24	$3.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.98 / $6.76	Facility		$2.24	$3.98	$6.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.69	Professional		$2.04	$2.04	$2.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $3.39 / $6.17	Facility		$2.34	$3.39	$6.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.04 / $2.24	Professional		$1.70	$2.04	$2.24
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.69 / $2.69	Facility		$2.24	$2.69	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.82 / $3.16	Professional		$1.35	$1.82	$3.16