Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.27 / $5.89	Facility		$2.45	$4.27	$5.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Professional		$2.00	$2.00	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $4.68	Facility		$2.34	$2.34	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.02	Professional		$2.45	$2.45	$3.02
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 $2.45 / $2.82 / $4.57	Facility		$2.45	$2.82	$4.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.63 / $6.17	Facility		$2.09	$2.63	$6.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.57 / $2.75	Professional		$2.34	$2.57	$2.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.75 / $6.61	Facility		$2.29	$2.75	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.24	Professional		$2.45	$2.45	$3.24