Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $56.23 / $912.01	Facility		$1.15	$56.23	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $61.66 / $181.97	Professional		$1.07	$61.66	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Facility		$0.03	$0.03	$0.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
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 $0.03 / $0.04 / $0.06	Facility		$0.03	$0.04	$0.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Facility		$0.05	$0.05	$0.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $0.05	Professional		$0.03	$0.05	$0.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.21 / $0.68	Facility		$0.03	$0.21	$0.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04