Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $20.89 / $794.33	Facility		$3.80	$20.89	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $53.70	Professional		$2.00	$3.02	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.51 / $13.80	Facility		$3.98	$8.51	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.57 / $7.76	Professional		$2.34	$4.57	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.39 / $64.57	Professional		$2.45	$3.39	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $8.13	Facility		$3.80	$3.80	$8.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.17 / $12.88	Facility		$3.47	$6.17	$12.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.57	Professional		$3.47	$3.47	$4.57
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 $2.88 / $3.47 / $3.80	Professional		$2.88	$3.47	$3.80
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 $1.62 / $2.04 / $4.27	Professional		$1.62	$2.04	$4.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $6.92	Professional		$1.74	$1.74	$6.92