Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.78 / $54.95	Facility		$12.88	$17.78	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $18.20	Professional		$6.03	$7.94	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $20.89 / $27.54	Facility		$8.91	$20.89	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $13.49	Professional		$5.01	$10.00	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $64.57	Professional		$6.03	$8.32	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $17.78	Facility		$9.33	$9.33	$17.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $16.60 / $28.18	Facility		$9.33	$16.60	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $11.22	Professional		$8.51	$8.51	$11.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $25.70	Facility		$10.00	$14.13	$25.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $9.33	Professional		$7.08	$8.51	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.22 / $11.22	Facility		$9.33	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $9.55	Professional		$3.98	$3.98	$9.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $16.98	Professional		$4.27	$4.27	$16.98