Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $20.42 / $58.88	Facility		$12.59	$20.42	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $19.05	Professional		$7.08	$8.91	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $22.39 / $32.36	Facility		$10.47	$22.39	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.48 / $19.95	Professional		$6.17	$11.48	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $64.57	Professional		$6.46	$8.71	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $21.88	Facility		$10.00	$10.00	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $30.20	Facility		$10.00	$17.38	$30.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.02	Professional		$8.91	$8.91	$12.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.14 / $27.54	Facility		$10.47	$15.14	$27.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $10.00	Professional		$7.59	$8.91	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $12.02	Facility		$10.00	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $11.22	Professional		$4.17	$5.01	$11.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $18.20	Professional		$4.47	$4.47	$18.20