Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.30 / $29.51	Facility		$6.17	$12.30	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $14.79	Professional		$6.03	$6.03	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $17.78	Facility		$5.89	$5.89	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $7.59	Professional		$6.17	$6.17	$7.59
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 $7.24 / $7.94 / $16.98	Facility		$7.24	$7.94	$16.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $23.99	Facility		$11.48	$11.48	$23.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $11.48	Professional		$7.41	$11.48	$11.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.13	Professional		$6.17	$6.17	$8.13