Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.49 / $18.62	Facility		$8.91	$15.49	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $10.96	Professional		$7.94	$8.91	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $16.22	Facility		$8.51	$8.51	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.96	Professional		$8.91	$8.91	$10.96
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 $9.12 / $10.47 / $14.45	Facility		$9.12	$10.47	$14.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.55 / $20.42	Facility		$6.92	$9.55	$20.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.55 / $10.47	Professional		$8.91	$9.55	$10.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.77 / $23.99	Facility		$8.32	$9.77	$23.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $11.75	Professional		$8.91	$8.91	$11.75