Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.42 / $66.07	Facility		$9.33	$20.42	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $18.20	Professional		$6.03	$7.08	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.89 / $27.54	Facility		$8.51	$20.89	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $10.00 / $13.49	Professional		$4.68	$10.00	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $64.57	Professional		$6.03	$8.32	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $14.13	Facility		$9.33	$9.33	$14.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $16.22 / $28.18	Facility		$9.33	$16.22	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $11.22	Professional		$8.51	$8.51	$11.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.13 / $25.70	Facility		$9.77	$14.13	$25.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $9.33	Professional		$7.08	$8.51	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.22 / $11.22	Facility		$9.33	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.89 / $9.33	Professional		$3.80	$3.89	$9.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $16.98	Professional		$4.17	$4.17	$16.98