Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.98 / $52.48	Facility		$12.30	$16.98	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $16.98	Professional		$6.03	$7.08	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.95 / $24.55	Facility		$8.91	$19.95	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $13.49	Professional		$4.68	$9.33	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $64.57	Professional		$5.75	$7.94	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $17.38	Facility		$8.91	$8.91	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.85 / $26.92	Facility		$8.91	$15.85	$26.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.72	Professional		$8.13	$8.13	$10.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.49 / $24.55	Facility		$9.33	$13.49	$24.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $8.91	Professional		$6.76	$8.13	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.72 / $10.72	Facility		$8.91	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.98 / $9.55	Professional		$3.80	$3.98	$9.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $16.22	Professional		$4.07	$4.07	$16.22