Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $67.61	Facility		$15.85	$25.12	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.00 / $21.88	Professional		$6.17	$10.00	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $25.70 / $37.15	Facility		$12.02	$25.70	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.18 / $23.44	Professional		$7.24	$13.18	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $64.57	Professional		$7.41	$10.23	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $25.70	Facility		$11.75	$11.75	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $34.67	Facility		$11.75	$20.42	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.80	Professional		$10.47	$10.47	$13.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $31.62	Facility		$12.30	$17.38	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $11.75	Professional		$8.71	$10.47	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $13.80	Facility		$11.75	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.61 / $13.80	Professional		$4.90	$6.61	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $20.89	Professional		$5.25	$5.25	$20.89