Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $13.18 / $63.10	Facility		$3.55	$13.18	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.16 / $5.25	Professional		$2.00	$3.16	$5.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.51 / $2.51	Professional		$2.19	$2.51	$2.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $7.94 / $12.88	Facility		$3.72	$7.94	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $4.17 / $7.24	Professional		$2.19	$4.17	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.16 / $3.80	Professional		$2.29	$3.16	$3.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $7.94	Facility		$3.55	$3.55	$7.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.31 / $10.72	Facility		$3.55	$6.31	$10.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.27	Professional		$3.24	$3.24	$4.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.37 / $9.77	Facility		$3.80	$5.37	$9.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.24 / $3.55	Professional		$2.69	$3.24	$3.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.27 / $4.27	Facility		$3.55	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.95 / $4.27	Professional		$2.14	$2.95	$4.27