Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $89.13	Facility		$20.89	$33.11	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $28.84	Professional		$10.96	$13.49	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $48.98	Facility		$15.85	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $30.90	Professional		$9.55	$17.38	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $64.57	Professional		$9.77	$13.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $25.12	Facility		$15.14	$15.14	$25.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $45.71	Facility		$15.14	$26.92	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Professional		$13.80	$13.80	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $41.69	Facility		$16.22	$22.91	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $15.14	Professional		$11.48	$13.80	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $16.98	Professional		$6.46	$7.59	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $27.54	Professional		$6.92	$6.92	$27.54