Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.78 / $57.54	Facility		$10.47	$17.78	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $29.51	Professional		$6.03	$7.08	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $17.78 / $28.18	Facility		$8.32	$17.78	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.55 / $16.22	Professional		$5.13	$9.55	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.08 / $64.57	Professional		$5.13	$7.08	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $13.80	Facility		$8.13	$8.13	$13.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.13 / $23.99	Facility		$8.13	$14.13	$23.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $9.77	Professional		$7.24	$7.24	$9.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.02 / $22.39	Facility		$8.51	$12.02	$22.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $8.13	Professional		$6.03	$7.24	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $9.77	Facility		$8.13	$9.77	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.17 / $9.12	Professional		$3.39	$4.17	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $14.45	Professional		$3.63	$3.63	$14.45