Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $13.18 / $91.20	Facility		$5.75	$13.18	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $10.96	Professional		$3.98	$5.01	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $12.59 / $18.20	Facility		$5.89	$12.59	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.61 / $11.22	Professional		$3.63	$6.61	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.01 / $64.57	Professional		$3.63	$5.01	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $12.59	Facility		$5.75	$5.75	$12.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.12 / $19.50	Facility		$5.13	$9.12	$19.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.92	Professional		$5.13	$5.13	$6.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $933.25	Facility		$316.23	$478.63	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $5.75	Professional		$4.27	$5.13	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,148.15	Facility		$478.63	$630.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.24 / $6.46	Professional		$2.40	$3.24	$6.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $10.23	Professional		$2.57	$2.57	$10.23