Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.79 / $39.81	Facility		$6.92	$14.79	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $12.88	Professional		$5.01	$6.03	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $21.88	Facility		$7.08	$15.14	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.76 / $13.49	Professional		$4.17	$7.76	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.03 / $64.57	Professional		$4.37	$6.03	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $12.88	Facility		$6.92	$6.92	$12.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $12.02 / $20.42	Facility		$6.92	$12.02	$20.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.13	Professional		$6.17	$6.17	$8.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.23 / $19.05	Facility		$7.24	$10.23	$19.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $6.92	Professional		$5.13	$6.17	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.13 / $8.13	Facility		$6.92	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $8.13	Professional		$2.88	$3.89	$8.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $12.30	Professional		$3.09	$3.09	$12.30