Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.90	Professional		$1.00	$1.00	$4.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $75.86	Professional		$2.09	$2.09	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $2.00	Facility		$1.55	$1.55	$2.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.24 / $3.31	Facility		$1.55	$2.24	$3.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.00 / $3.80	Facility		$1.66	$2.00	$3.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.57 / $4.37	Professional		$1.45	$2.57	$4.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.40	Professional		$1.35	$1.35	$2.40