Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $91.20	Facility		$12.88	$33.88	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $43.65	Professional		$8.91	$10.96	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $41.69	Facility		$13.49	$28.84	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.79 / $25.70	Professional		$7.94	$14.79	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $64.57	Professional		$8.32	$11.22	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $21.88	Facility		$12.88	$12.88	$21.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.39 / $38.90	Facility		$12.88	$22.39	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $15.49	Professional		$11.48	$11.48	$15.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $35.48	Facility		$13.49	$19.50	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $12.88	Professional		$9.55	$11.48	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $15.49	Facility		$12.88	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $14.45	Professional		$5.37	$6.46	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $23.44	Professional		$5.75	$5.75	$23.44