Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $74.13	Facility		$12.02	$23.99	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $23.99	Professional		$8.91	$10.96	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $38.90	Facility		$13.18	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.45 / $23.99	Professional		$7.41	$14.45	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $64.57	Professional		$8.13	$11.22	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $28.18	Facility		$12.59	$12.59	$28.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.39 / $38.02	Facility		$12.59	$22.39	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $15.14	Professional		$11.48	$11.48	$15.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $34.67	Facility		$13.49	$19.05	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $12.59	Professional		$9.55	$11.48	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $15.14	Facility		$12.59	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $15.14	Professional		$5.37	$6.92	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $22.91	Professional		$5.75	$5.75	$22.91