Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.50 / $60.26	Facility		$14.13	$19.50	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $19.95	Professional		$6.17	$7.94	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $22.91 / $28.84	Facility		$10.23	$22.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.96 / $16.22	Professional		$5.50	$10.96	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $64.57	Professional		$6.61	$9.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $20.42	Facility		$10.47	$10.47	$20.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $18.20 / $30.90	Facility		$10.47	$18.20	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $12.59	Professional		$9.33	$9.33	$12.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.49 / $28.84	Facility		$10.96	$15.49	$28.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $10.47	Professional		$7.76	$9.33	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.59 / $12.59	Facility		$10.47	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $11.22	Professional		$4.37	$4.57	$11.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $18.62	Professional		$4.68	$4.68	$18.62