Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $34.67 / $85.11	Facility		$12.30	$34.67	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $25.70	Professional		$8.91	$10.96	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.30 / $38.02	Facility		$12.59	$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 $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $36.31	Facility		$12.02	$20.89	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.45	Professional		$10.72	$10.72	$14.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $17.78 / $33.11	Facility		$12.59	$17.78	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $12.02	Professional		$8.91	$10.72	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Facility		$12.02	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $13.49	Professional		$5.01	$6.92	$13.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $21.38	Professional		$5.37	$5.37	$21.38