Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $20.42	Professional		$16.22	$16.22	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $50.12 / $50.12	Professional		$17.38	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $45.71	Facility		$19.05	$26.92	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.90 / $30.90	Facility		$18.20	$30.90	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $57.54	Professional		$18.20	$30.90	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $61.66	Professional		$14.79	$28.84	$61.66