Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $6.03	Professional		$3.02	$5.01	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $75.86	Professional		$7.08	$8.71	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.25 / $7.76	Facility		$5.13	$5.25	$7.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.41 / $11.22	Facility		$5.50	$7.41	$11.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $14.13	Facility		$6.31	$7.41	$14.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.72 / $16.98	Professional		$5.62	$10.72	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $7.76	Professional		$4.47	$4.47	$7.76