Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $23.44 / $70.79	Facility		$8.13	$23.44	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $26.30	Professional		$3.98	$5.01	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.88 / $20.89	Facility		$6.17	$12.88	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.61 / $11.75	Professional		$3.63	$6.61	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $64.57	Professional		$3.80	$5.13	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $12.88	Facility		$5.89	$5.89	$12.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.23 / $17.78	Facility		$5.89	$10.23	$17.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $7.08	Professional		$5.25	$5.25	$7.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.91 / $16.22	Facility		$6.17	$8.91	$16.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $5.89	Professional		$4.37	$5.25	$5.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $7.08 / $7.08	Facility		$5.89	$7.08	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $6.61	Professional		$2.45	$3.09	$6.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $10.47	Professional		$2.63	$2.63	$10.47