Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $61.66	Facility		$12.02	$19.95	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $61.66	Professional		$6.03	$7.94	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.05 / $27.54	Facility		$8.91	$19.05	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $16.22	Professional		$5.50	$10.00	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $33.11 / $75.86	Professional		$8.71	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $18.62	Facility		$8.71	$8.71	$18.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.14 / $25.70	Facility		$8.71	$15.14	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $10.23	Professional		$7.76	$7.76	$10.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $23.44	Facility		$9.12	$12.88	$23.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $8.71	Professional		$6.46	$7.76	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $10.23	Facility		$8.71	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.08 / $10.23	Professional		$5.13	$7.08	$10.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $15.49	Professional		$3.89	$3.89	$15.49