Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $53.70	Professional		$29.51	$32.36	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $117.49	Facility		$35.48	$35.48	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $29.51 / $74.13	Professional		$2.69	$29.51	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $48.98	Facility		$39.81	$47.86	$48.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $36.31	Professional		$29.51	$36.31	$36.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $38.02	Professional		$31.62	$35.48	$38.02