Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $40.74 / $109.65	Facility		$25.70	$40.74	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $36.31	Professional		$12.88	$16.98	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $60.26	Facility		$19.50	$41.69	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $38.02	Professional		$11.75	$21.88	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $64.57	Professional		$12.02	$16.60	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $41.69	Facility		$19.05	$19.05	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.11 / $56.23	Facility		$19.05	$33.11	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Professional		$16.98	$16.98	$22.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $52.48	Facility		$19.95	$28.18	$52.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $19.05	Professional		$14.13	$16.98	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $22.91	Facility		$19.05	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $21.38	Professional		$7.94	$9.55	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $33.88	Professional		$8.51	$8.51	$33.88