Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.89 / $25.12	Facility		$12.88	$20.89	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Professional		$12.02	$12.02	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $24.55	Facility		$11.48	$11.48	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.79	Professional		$12.02	$12.02	$14.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $22.91	Facility		$12.02	$14.13	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.13 / $32.36	Facility		$10.72	$14.13	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $14.13	Professional		$12.02	$12.88	$14.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $35.48	Facility		$12.02	$14.79	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85