Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.92 / $85.11	Facility		$16.22	$26.92	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $22.91	Professional		$7.94	$10.00	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.30 / $38.02	Facility		$12.30	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $23.99	Professional		$7.41	$13.49	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $64.57	Professional		$7.59	$10.47	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $21.88	Facility		$11.75	$11.75	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.89 / $35.48	Facility		$11.75	$20.89	$35.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.13	Professional		$10.72	$10.72	$14.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $32.36	Facility		$12.30	$17.78	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $11.75	Professional		$8.91	$10.72	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $14.13	Facility		$11.75	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $13.18	Professional		$5.01	$5.89	$13.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $21.38	Professional		$5.37	$5.37	$21.38