Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.50 / $26.30	Facility		$12.02	$19.50	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.22 / $14.13	Professional		$10.96	$11.22	$14.13
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
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 $10.96 / $12.59 / $20.89	Facility		$10.96	$12.59	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $33.88	Facility		$10.00	$14.13	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.48 / $12.59	Professional		$10.72	$11.48	$12.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.45 / $35.48	Facility		$11.22	$14.45	$35.48
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