Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.20 / $57.54	Facility		$13.49	$18.20	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.05	Professional		$6.03	$7.94	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $21.88 / $28.84	Facility		$9.77	$21.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.96 / $15.49	Professional		$5.25	$10.96	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $64.57	Professional		$6.31	$8.71	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.88	Facility		$9.77	$9.77	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.98 / $29.51	Facility		$9.77	$16.98	$29.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $11.75	Professional		$8.91	$8.91	$11.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $26.92	Facility		$10.23	$14.79	$26.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $9.77	Professional		$7.41	$8.91	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $11.75	Facility		$9.77	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.37 / $10.72	Professional		$4.07	$4.37	$10.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.78	Professional		$4.37	$4.37	$17.78