Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $38.02	Facility		$8.91	$12.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $12.02	Professional		$3.98	$5.01	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $17.78	Facility		$6.31	$14.45	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.92 / $9.77	Professional		$3.47	$6.92	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $64.57	Professional		$4.17	$5.75	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $12.30	Facility		$6.46	$6.46	$12.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.48 / $19.50	Facility		$6.46	$11.48	$19.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $7.76	Professional		$5.89	$5.89	$7.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.77 / $17.78	Facility		$6.76	$9.77	$17.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $6.46	Professional		$4.90	$5.89	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $7.76	Facility		$6.46	$7.76	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.82 / $6.92	Professional		$2.75	$2.82	$6.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $11.75	Professional		$2.95	$2.95	$11.75