Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $26.92 / $1,737.80	Facility		$6.31	$26.92	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $9.33	Professional		$3.02	$5.01	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $13.80 / $18.62	Facility		$4.90	$13.80	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.61 / $9.33	Professional		$3.31	$6.61	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $32.36 / $75.86	Professional		$4.07	$32.36	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $12.02	Facility		$6.31	$6.31	$12.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.91 / $21.38	Facility		$5.75	$8.91	$21.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.59	Professional		$5.75	$5.75	$7.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,949.84	Facility		$660.69	$1,023.29	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $6.31	Professional		$4.79	$5.75	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,454.71	Facility		$1,000.00	$1,318.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.69 / $6.31	Professional		$2.19	$2.69	$6.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $11.48	Professional		$2.88	$2.88	$11.48