Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.39 / $4.68	Facility		$2.00	$3.39	$4.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.34	Professional		$1.00	$2.00	$2.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $3.63	Facility		$1.86	$1.86	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.40	Professional		$1.95	$1.95	$2.40
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 $1.95 / $2.24 / $3.72	Facility		$1.95	$2.24	$3.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.09 / $5.01	Facility		$1.62	$2.09	$5.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.04 / $2.19	Professional		$1.86	$2.04	$2.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.19 / $5.25	Facility		$1.82	$2.19	$5.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.51	Professional		$1.95	$1.95	$2.51