Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $22.91	Facility		$11.22	$19.05	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $20.89	Facility		$10.47	$10.47	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.80	Professional		$11.22	$11.22	$13.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $20.89	Facility		$10.96	$12.59	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.48 / $28.18	Facility		$9.33	$11.48	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $12.30	Professional		$10.47	$11.22	$12.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.30 / $22.39	Facility		$9.55	$12.30	$22.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.45	Professional		$11.22	$11.22	$14.45