Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.22 / $67.61	Facility		$7.94	$16.22	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $15.14	Professional		$7.59	$7.94	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $16.22	Facility		$7.76	$7.76	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.00	Professional		$8.13	$8.13	$10.00
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 $11.48 / $15.85 / $29.51	Facility		$11.48	$15.85	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $16.60	Facility		$6.31	$6.31	$16.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.60 / $18.20	Professional		$15.49	$16.60	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.72	Professional		$8.13	$8.13	$10.72