Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $46.77 / $100.00	Facility		$15.14	$46.77	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $69.18	Professional		$10.00	$14.13	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.88 / $42.66	Facility		$15.49	$33.88	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $23.99	Professional		$8.13	$16.22	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $64.57	Professional		$9.77	$13.49	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.88	Facility		$15.14	$15.14	$33.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $45.71	Facility		$15.14	$26.92	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $18.20	Professional		$13.80	$13.80	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $41.69	Facility		$16.22	$22.91	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $15.14	Professional		$11.48	$13.80	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.92 / $16.98	Professional		$6.46	$6.92	$16.98