Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.89 / $66.07	Facility		$10.00	$20.89	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $21.88	Professional		$7.08	$10.00	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.12 / $36.31	Facility		$11.75	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.18 / $22.39	Professional		$7.08	$13.18	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $64.57	Professional		$7.24	$10.00	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $23.44	Facility		$11.22	$11.22	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $33.88	Facility		$11.22	$19.95	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $13.49	Professional		$10.23	$10.23	$13.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $30.90	Facility		$11.75	$16.98	$30.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $11.22	Professional		$8.51	$10.23	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $13.49	Facility		$11.22	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $12.59	Professional		$4.79	$5.62	$12.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $20.42	Professional		$5.13	$5.13	$20.42