Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $204.17	Professional		$12.02	$16.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $46.77	Professional		$14.45	$23.99	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $30.90	Facility		$25.12	$30.90	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Facility		$19.50	$19.50	$20.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $45.71	Professional		$20.89	$33.88	$45.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $43.65	Facility		$19.05	$22.91	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $40.74	Professional		$19.95	$29.51	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $41.69	Professional		$15.49	$22.91	$41.69