Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.89 / $77.62	Facility		$12.88	$20.89	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $16.98	Professional		$6.03	$7.24	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $19.95 / $30.20	Facility		$9.55	$19.95	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.23 / $16.60	Professional		$5.25	$10.23	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $64.57	Professional		$5.75	$7.94	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $15.85	Facility		$9.12	$9.12	$15.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.85 / $27.54	Facility		$9.12	$15.85	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.96	Professional		$8.13	$8.13	$10.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $25.12	Facility		$9.55	$13.49	$25.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $9.12	Professional		$6.76	$8.13	$9.12
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.96 / $10.96	Facility		$9.12	$10.96	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $10.96	Professional		$3.80	$4.79	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $16.22	Professional		$4.07	$4.07	$16.22