Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $11.75	Professional		$9.55	$9.55	$11.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $25.70	Facility		$6.76	$12.02	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16