Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $38.02	Facility		$8.91	$12.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $12.02	Professional		$3.98	$5.75	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $14.45 / $20.89	Facility		$6.76	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.41 / $13.18	Professional		$3.98	$7.41	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $32.36 / $75.86	Professional		$4.17	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $12.30	Facility		$6.46	$6.46	$12.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.22 / $19.50	Facility		$6.46	$11.22	$19.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.76	Professional		$5.75	$5.75	$7.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.77 / $17.78	Facility		$6.76	$9.77	$17.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $6.46	Professional		$4.79	$5.75	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $7.76	Facility		$6.46	$7.76	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.24 / $7.24	Professional		$2.69	$3.24	$7.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $11.75	Professional		$2.88	$2.88	$11.75