Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $69.18	Facility		$13.18	$20.42	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $18.20	Professional		$7.08	$7.94	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $30.20	Facility		$10.00	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.22 / $19.05	Professional		$5.75	$11.22	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $64.57	Professional		$6.17	$8.51	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $14.45	Facility		$9.55	$9.55	$14.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.98 / $28.84	Facility		$9.55	$16.98	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.48	Professional		$8.71	$8.71	$11.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.45 / $26.30	Facility		$10.23	$14.45	$26.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $9.55	Professional		$7.24	$8.71	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.48 / $11.48	Facility		$9.55	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.37 / $10.72	Professional		$4.07	$5.37	$10.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.38	Professional		$4.37	$4.37	$17.38