Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.20 / $177.83	Facility		$13.80	$30.20	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $18.20	Professional		$6.03	$7.94	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $21.38 / $25.70	Facility		$9.12	$21.38	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.47 / $14.13	Professional		$5.01	$10.47	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $64.57	Professional		$6.17	$8.51	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $14.45	Facility		$9.77	$9.77	$14.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.98 / $28.84	Facility		$9.77	$16.98	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.75	Professional		$8.71	$8.71	$11.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.45 / $26.92	Facility		$10.23	$14.45	$26.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $9.77	Professional		$7.24	$8.71	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $11.75	Facility		$9.77	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $10.00	Professional		$4.07	$4.07	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.38	Professional		$4.37	$4.37	$17.38