Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $36.31	Facility		$15.85	$26.30	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $32.36	Professional		$15.14	$15.14	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $30.20	Facility		$14.13	$14.13	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.62	Professional		$15.14	$15.14	$18.62
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 $15.14 / $18.62 / $28.18	Facility		$15.14	$18.62	$28.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.38 / $42.66	Facility		$12.88	$17.38	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.29 / $2.29	Professional		$1.48	$2.29	$2.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $43.65	Facility		$15.14	$18.20	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.50	Professional		$15.14	$15.14	$19.50