Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.76 / $11.22	Facility		$3.02	$7.76	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.76	Professional		$3.98	$3.98	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Facility		$4.27	$4.27	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.50	Professional		$4.47	$4.47	$5.50
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 $2.24 / $2.82 / $4.57	Facility		$2.24	$2.82	$4.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $7.41	Facility		$3.39	$3.39	$7.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.39 / $3.39	Professional		$2.24	$3.39	$3.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.75	Professional		$4.47	$4.47	$5.75