Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.08 / $9.77	Facility		$4.07	$7.08	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.17	Professional		$3.98	$3.98	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $7.94	Facility		$3.80	$3.80	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.01	Professional		$4.07	$4.07	$5.01
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 $4.07 / $4.68 / $7.76	Facility		$4.07	$4.68	$7.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.47 / $10.96	Facility		$3.55	$4.47	$10.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.37 / $4.68	Professional		$3.98	$4.37	$4.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.68 / $11.22	Facility		$3.89	$4.68	$11.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.25	Professional		$4.07	$4.07	$5.25