Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $13.49 / $67.61	Facility		$5.75	$13.49	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $38.90	Professional		$3.98	$5.01	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $13.49 / $18.20	Facility		$6.31	$13.49	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $7.08 / $11.22	Professional		$3.47	$7.08	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.37 / $6.46	Professional		$3.89	$5.37	$6.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $12.30	Facility		$6.17	$6.17	$12.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.72 / $18.62	Facility		$6.17	$10.72	$18.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $7.41	Professional		$5.50	$5.50	$7.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.12 / $16.98	Facility		$6.46	$9.12	$16.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.50 / $6.17	Professional		$4.57	$5.50	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.41 / $7.41	Facility		$6.17	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $6.92	Professional		$2.57	$3.09	$6.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $10.96	Professional		$2.75	$2.75	$10.96