Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.96 / $29.51	Facility		$6.61	$10.96	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $16.60	Professional		$3.02	$3.98	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.72 / $15.49	Facility		$5.01	$10.72	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $9.77	Professional		$3.09	$5.75	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $64.57	Professional		$3.09	$4.27	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $10.72	Facility		$4.90	$4.90	$10.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.51 / $14.45	Facility		$4.90	$8.51	$14.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $5.89	Professional		$4.37	$4.37	$5.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.24 / $13.49	Facility		$5.13	$7.24	$13.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.37 / $4.90	Professional		$3.63	$4.37	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.89 / $5.89	Facility		$4.90	$5.89	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.45 / $5.50	Professional		$2.04	$2.45	$5.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $8.71	Professional		$2.19	$2.19	$8.71