Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $12.88	Professional		$6.03	$10.96	$12.88
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 $9.77 / $12.02 / $75.86	Professional		$9.77	$12.02	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.45	Facility		$14.13	$14.13	$14.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $30.90	Facility		$14.13	$20.89	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $40.74	Facility		$17.78	$21.38	$40.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $37.15	Professional		$12.88	$15.14	$37.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $21.88	Professional		$12.30	$12.30	$21.88