Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.45 / $3.89	Professional		$2.14	$2.45	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.98 / $1.07	Facility		$0.89	$0.98	$1.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.32 / $1.91	Facility		$0.87	$1.32	$1.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Professional		$0.87	$0.87	$0.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.51 / $2.82	Facility		$1.26	$1.51	$2.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $0.78	Professional		$0.78	$0.78	$0.78
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.29 / $2.51	Professional		$0.83	$1.29	$2.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $1.38	Professional		$0.78	$0.78	$1.38