Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Facility		$12.02	$12.02	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $12.02	Professional		$10.96	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $28.18	Facility		$12.30	$12.30	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $33.11	Facility		$10.47	$12.30	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $13.18	Professional		$11.22	$12.30	$13.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.30 / $19.95	Facility		$9.77	$12.30	$19.95
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 $12.02 / $12.59 / $12.59	Professional		$12.02	$12.59	$12.59