Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $15.85	Professional		$7.08	$14.13	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $75.86	Professional		$14.45	$14.45	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $17.38	Facility		$16.98	$16.98	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $37.15	Facility		$16.98	$25.12	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $47.86	Facility		$21.38	$25.70	$47.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $44.67	Professional		$15.49	$18.20	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $26.30	Professional		$14.79	$14.79	$26.30